WOC OF HYPERTENTION
Smoke 2 / 3 per days since
45 years ago
components / toxins in
cigarettes get into the blood
vessels
accumulation of spots in the
blood vessels
constriction of blood vessels
Vasoconstriction of blood
vessels
Blockage of Coronary
Artery
Coronary Artery Disease
Acute Pain related to
Decreased Myocardial
Blood Flow
Intervention :
1. Instruct patient to notify
nurse immediately when
chest pain occurs.
2. Assess and document
patient response to
medication.
3. Identify precipitating
event, if any: frequency,
duration, intensity, and
location of pain.
4. Observe for associated
symptoms: dyspnea, nausea
and vomiting, dizziness,
palpitations, desire to
micturate.
5. Evaluate reports of pain in
Uncontrol nutrition inta
(he just eat what he wan
HIPERTENTION
Encouraging Changes in Health Stat
Atherosclerotic
Plaque
Less Exposure to Heal
Information
Blockage of Small
Arteries
Deficient Knowledge
Peripheral Vascular Disease
Ineffective Peripheral Tissue Perfusion
related to Impaired Arterial Circulation
Intervention :
1. Provide insulating warmth with
gloves, socks and other outerwear as
appropriate.
2. Keep room temperatures
comfortably warm.
3. Instruct the client to warm himself
with warm drinks or baths.
4. Never apply a direct heat source to
the extremities. Limited blood flow
combined occur with normal
circulation.
5. Teach the client about the
vasoconstrictive effects of nicotine
and caffeine, emotional stress, and
duration, intensity, and
location of pain.
4. Observe for associated
symptoms: dyspnea, nausea
and vomiting, dizziness,
palpitations, desire to
micturate.
5. Evaluate reports of pain in
jaw, neck, shoulder, arm, or
hand (typically on left side).
6. Place patient at complete
rest during anginal episodes.
7. Elevate head of bed if
patient is short of breath.
8. Monitor heart rate and
rhythm
9. Monitor vital signs every
5 min during initial anginal
attack.
with warm drinks or baths.
4. Never apply a direct heat source to
the extremities. Limited blood flow
combined occur with normal
circulation.
5. Teach the client about the
vasoconstrictive effects of nicotine
and caffeine, emotional stress, and
chilling, discuss ways to avoid or
minimize these risk factors.
6. Teach the client to avoid
constricting clothes, such as garters,
knee-high stockings and belts.
7. If overreplacement of
glucocortiocoid is indicated, inform
the client about the purpose of therapy
and possible adverse effects such as
cushingoid appearance, weight gain,
acne, hirsutism, peptic ulcer, diabetes
mellitus, osteoporosis, infection,
muscular weakness, mood swings,
cataracts and hypertension.
Uncontrol nutrition intake
(he just eat what he wants)

Changes in Health Status

Less Exposure to Health

Information

Deficient Knowledge
 open reduction internal
fixation of the right femoral
fracture

Osteoarthritis

Activity Intolerence related

to Joint Pain