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High Blood Pressures

High BP is classified according to the level of severity. The following table is from the report
of the Joint National Committe on Preventive, Detection, Evaluation, and treatment of High
Blood Pressure (JNC).
Classification of Blood Pressure for Adults 18 Years of Age and Older
Systolic (mmHg)

> 120
120 139

diastolic (mmHg)



80 - 90

Stage 1

140 159


90 -99

Stage 2




Classification of Hypertension
Hypertension is defined as a persistent SPP 140 mmHg, DBP 90 mmHg, or current use of
antihypertensive medication. Prehypertension is defined as SBP 120 to 139 mmHh or DBP 80
to 89 mmHg. Table 33-2 presents the BP classification for people 18 years of age. The
calssification of BP is based on the average of two or more properly seatwd BP readings on
each of two or more office visits.
Subtypes of Hypertension
Isolated systolic Hypertension. Isolated systolic hypertension (ISH) is defined as
an average 140 mmHg coupled with an average DBP less than 90 mmHg. ISH is more
common in older adults due to changes in BP patterns. SBP rises with aging and DBP rises
until approximately age 55 and then declines. Older adults often have ISH caused by loss of
elasticity in large arteries from atherosclerosis. Control of ISH decreases the incidence of
stroke , heart failure, and death.
Pseudohhypertension. Pseudohhypertension, or false hypertension, occurs with the
cuff is fully inflated. This results in much higher cuff pressures than are actually present
within the vessels. Suspect pseudohypertension if arteries feel rigid or when few retinal or
cardiac signs are found relative to the pressures obtained by cuff. The only way to accurately
measures BP in pseudohypertension is with an intraarterial catheter.

A. General Objectives

It can give a picture of hypertension

B. Special purpose
After describing the Nursing Care, is expected to be able to: \
1. Do the study on clients with hypertension Do studies on clients with hypertension

correctly in correctly
Formulate nursing issues that may arise on clients with hypertension.
Plan of action nursing on clients with hypertension
carry out nursing actions on clients with hypertension
Make the evaluation of nursing actions that have been performed on clients with


Do documentation properly in accordance with the plan of action and evaluation.

C. The benefits of writing

As for the benefits of writing are as follows:
1. in order to meningkan the quality and standard of living in a healthy environment
2. To improve the quality of health care and nursing
3. to provide comprehensive nursing care according to the needs and conditions of
the client.

A. Conclusions
Hypertension is a factor in leading causes of death due to stroke and factors
memperberat myocardial infarction (heart attack). The condition is the most common
disorder in blood pressure. Hypertension is frequently asymptomatic disorders occur
with persistent increase in blood pressure in Hypertension diagnosis. in adults is
created when the average diastolic reading two or more, at least two visits here are
90mmHg or higher or when multiple blood pressure systolic rate on two or more
subsequent visits are consistently higher than 140mmHg.
The disease arises due to various risk factors such as smoking, hypertension,
disiplidemia, diabetes mellitus, obesity, age, and family history. Some of the
complications of the disease that often occur due to disease of hypertension are not
quickly corrected is stroke, insomnia, fertigo.
B. Suggestions

Hopefully with the existence of this paper, can expand our knowledge and insight
regarding "hypertension" making it easier for students or nurses in the nursing process
to address the problems that occur on the hypertension that is in the environmental
community. In addition, the community will also know the dangers of that on the
impact by hypertension and unhealthy life pattern.