How can I reduce my risk for high blood pressure? Reduce the saturated fat and salt in your diet. Try not to add salt to your foods. Don’t eat fast food. Choose fruits, vegetables, grains and low-fat dairy foods (like low-fat yogurt and non-fat milk). Exercise 30 minutes on most days of the week. Keep a healthy weight. People with a BMI (Body Mass Index) of 30.0 or higher are more likely to develop high blood pressure. If you smoke, quit. Limit how much alcohol you drink. Significance to Nursing The nurse should promote the health, safety and rights of the patient by uphold privacy and confidentiality. Primary Commitment to the patient. Treat the patient with respect and compassion and dignity regards of socio- Ineffective Tissue Perfusion: cerebral, renal, cardiac related to impaired circulation. Outcome Patients demonstrating an improved tissue perfusion as indicated by: blood pressure within acceptable limits, no complaints of headache, dizziness, and laboratory values AND YOUR HEALTH economic status, cultural attributes and personal. If the incidence increases there will be more patient affected and the care given will be challenging depending on the demographic and availability of nurses. The other health care providers that will be involved are the hospice, community health workers, and Nursing Diagnosis BLOOD PRESSURE Lowering your blood pressure by modifying your lifestyle and eating habits reduces your risk of cardiovascular disease, including having a fatal heart attack or stroke. CDC. Nclex Questions: A modification of life styles behaviors to help manage hypertension does not include which of the following? (select all that apply.) 1. Weight loss 2. The DASH diet 3. Fruits, vegetables and whole grains 4. Alcohol intake with meals within normal limits. Stable vital signs. Urine output 30 ml / min. Knowledge deficit related to lack of information about the disease process and self-care. Outcome: Patients can express their knowledge and Hypertension is known as the silent killer. This phrase is associated with the fact that hypertension often goes undetected until symptoms of other system failures occurs. This may occur in the form of: 1. Cerebrovascular accident 2. Liver disease 3. Myocardial infraction 4. Pulmonary disease skills of the management of early treatment of hypertension. FOR MORE INFORMATION Reported the use of drugs according to Contact your primary care provider medical advice. Local Health Department American Heart Association BY JAYA LINGAM SRN HYPERTENSION Complication of Hypertension Heart attack or stroke Hypertension (high blood pressure) is a disease High blood pressure can cause of vascular regulation resulting from malfunction hardening and thickening of the of arterial pressure control mechanisms (central arteries (atherosclerosis), which can nervous system, rennin-angiotensin aldosterone lead to a heart attack, stroke or other system, extracellular fluid volume.) the cause is complications unknown, and there is no cure. The basic Heart failure explanation is that blood pressure is elevated To pump blood against the higher when there is increased cardiac output plus pressure in your vessels, your heart increased peripheral vascular resistance. muscle thickens. Eventually, the About 73 million Americans have hypertension. Another 69 million have prehypertension. That means at least every 3 American adults have unhealthy blood pressure. The American Heart Association calls hypertension “the silent killer” because it often doesn’t cause any symptoms, until it damages you circulation. The table below shows the different stages of hypertension: thickened muscle may have a hard time pumping enough blood to meet your body's needs, which can lead to heart failure Who is at risk for getting high blood pressure? of the kidneys. High blood pressure, African Americans develop high blood pressure more often than other groups. African Americans are also six times more likely than whites to develop kidney failure from their high blood pressure. People age 55 years & older Family history Poor diet—too much salt Obese people. also called hypertension, can damage Tobacco users. the kidneys and lead to chronic kidney Sedentary lifestyles. disease (CKD). Diabetes Mellitus. Kidney problems Weaken and narrowing of blood vessels in the kidneys can prevent it from functioning normally. The kidneys play a key role in keeping a person's blood pressure in a healthy range, and blood pressure, in turn, can affect the health Vision problems Burst blood vessels in the eye and vision loss are two consequences of high blood pressure affecting the blood vessels of the eye, a condition called retinopathy. Swelling in the optic nerve is another possible complication, which can lead to difficulty seeing. Aneurysms High blood pressure can cause the blood vessels to weak and bulge, causing an aneurysm. If it ruptures, then it can be life threatening. Research study shows hypertension is the hallmark for kidney disease leads to end organ failure. The high prevalence rates in African American are due to their culture. Research shows that Culturally prescribed norms for diet and food preparation were seen as the overriding cause of hypertension.