Assessment Nursing Diagnosis Background Planning Intervention Rationale Evaluation

Konwledge

Subjective: Risk for prone High blood pressure After 8 hours of Independent:
"Sakit akung ulo, unya behaviour related to or hypertension nursing interventions,
usahay muhuot akung lack of knowledge means high pressure the patient will Define the limits of Provides basis for After 8 hours of
dughan nga dili ko about the disease. in the arteries. verbalize desired BP. understanding nursing interventions,
kasabot sa akung Arteries are vessels understanding of the elevations of BP, and the patient was able
Explain hypertension clarifies to verbalize
gibati nga mura kog that carry blood from disease process and and its effect on the
malipong." the pumping heart to treatment regimen. misconceptions and understanding of tje
heart, blood vessels, also understanding disease process and
all the tissues and kidney, and brain.
Objective: organs of the body. that high BP can exist treatment regimen.
High blood pressure without symptom or
Agitated behaviour does not mean even when feeling
excessive emotional well.
Request for tension, although
Assist the patient in
information emotional tension identifying modifiable
and stress can These risk factors
risk factors like diet
V/S taken as follows: temporarily increase have been shown to
high in sodium,
blood pressure. contribute to
saturated fats and
T: 37.2 Normal blood hypertension.
cholesterol.
P: 84 pressure is below
R: 18 120/80; blood Reinforce the
BP: 180/ 110 pressure between importance of Lack og coopearation
120/80 and 139/ 89 is adhering to treatment is common reason for
called "pre- regimen and keeping failure of
hypertension", and a follow up antihypertensive
blood pressure of appiontments. therapy.
140/ 90 or above is
considered high. an Suggest frequent
 elevation of the position changes, leg
systolic and diastolic exercises when lying
blood pressure down. Decreases peripjeral
increses the risk of venous pooling that
developing heart may be potentiated
disease, kidney by vasodilators and
disease, hardening of prolonged sitting or
of the arteries, eye Help patient identify standing
damage and stroke. sources of sodium
This complications of intake.
hypertension are Two yrs on moderate
often reffered to as low salt diet may be
end -organ damage sufficient to control
because damage to mild hypertension.
these organs is the Encourage patient to
end result of chronic decrease or eliminate
high blood pressure. caffiene, coffee, cola caffiene is a cardiac
and chocolate in stimulant and may
takem adversely affect
cardiac function.

Name: Tony Cajes

Sex:Male
Address:Lamdagan St.,Tagb., City
Civil Status: Married
Chief Complain: Chest pain and head ache
Generic/Brand Classification Indication Action Side Effects Contradiction Special Dosage and Nursing
Name Precation Availability Responsibility
Antihypertensi Treatment of Selectively CNS: headache
ve HPN amd block the , dizziness, Hypersensitive Use cautiously 100mg- tablet Monitor
Losartan reduction of binding of faint, to drug and its with hepatic OD patirmt closely
the risk of CVA Angiotamin II derivatives or renal in any
to specific CV: impairments, Tablets: situation that
tissue hypothermia hypovolemia 25, 30, 100mg may lead to a
receptors decrease in BP
found in the Dermatologic secondary to a
vascular rash, urticaria, reduction in
smooth pruritis, fluid volume
muscles amd alopecia
adrenal glands Administer
GI: diarrhea, drug without
nausea, regard to
constipation meals

Respi: URI Observes for

symptoms, signs of
cough anaphylaxis.

Observe 10
rights of drug
administration
s.