Professional Documents
Culture Documents
Blood pressure is a measurement of the force against the walls of your arteries as the heart pumps
blood through the body.
The top number is called the systolic blood pressure, and the bottom number is called the diastolic
blood pressure.
Normal blood pressure is when blood pressure is lower than 120/80 mmHg most of the time.
High blood pressure (hypertension) is when blood pressure is 140/90 mmHg or above most of
the time.
If your blood pressure numbers are 120/80 or higher, but below 140/90, it is called prehypertension.
Confusion
Ear noise or buzzing
Fatigue
Headache
Irregular heartbeat
Nosebleed
Vision changes
Demonstrate stable cardiac rhythm and rate within patients normal range.
NANDA Definition: Pain is whatever the experiencing person says it is, existing whenever the person
says it does (McCaffery, 1968); an unpleasant sensory and emotional experience arising from actual
or potential tissue damage or described in terms of such damage (International Association for the
Study of Pain) sudden or slow onset of any intensity from mild to severe with an anticipated or
predictable end and a duration of
NOC :
1. Discuss necessity for decreased caloric intake and limited intake of fats, salt, and sugar as
indicated.
Rationale : Excessive salt intake expands the intravascular fluid volume and may damage kidneys,
which can further aggravate hypertension.
2. Determine patients desire to lose weight.
Rationale : Motivation for weight reduction is internal. The individual must want to lose weight.
3. Review usual daily caloric intake and dietary choices.
Rationale : Identifies current strengths/weaknesses in dietary program.
4. Instruct and assist in appropriate food selections, such as a diet rich in fruits, vegetables, and
low-fat dairy foods.
Rationale : Avoiding foods high in saturated fat and cholesterol is important in preventing
progressing atherogenesis.
Nursing Diagnosis V :
Deficient Knowledge
NANDA Definition: Absence or deficiency of cognitive information related to a specific topic
NOC :
Identify drug side effects and possible complications that necessitate medical attention.
Verbalize understanding of disease process and treatment regimen.
Maintain blood pressure within individually acceptable parameters.
Interventions :
1. Define and specify the desired blood pressure limits. Describe hypertension and its effect on the
heart, blood vessels, kidneys, and brain.
Rationale : Provides a basis for understanding blood pressure elevation, and describes commonly
used medical terms. Understanding that high blood pressure can occur without symptoms is the
center allows patients to continue treatment, even when it feels good.
2. Assist patients in identifying the risk factors that can be modified, for example, obesity, a diet high
in sodium, saturated fat, and cholesterol, sedentary lifestyle, smoking, alcohol consumption, stress
lifestyle.
Rationale : Risk factors that have been shown to contribute to hypertension and cardiovascular and
renal disease.