Hypertension Care Plan

Blood pressure is a measurement of the force of blood flow through the arteries as the heart pumps blood throughout the body.  The results of a blood pressure test are given in two numbers.  Systolic pressure, the top number, is the pressure when the heart is in an active beat.  Diastolic pressure, the bottom number, is the measurement of pressure in the arteries while the heart is resting in between beats.  When these pressures are chronically above the normal measurement of 120/80, a person may be diagnosed with hypertension.

As a person ages, the arteries slowly stiffen, increasing the force necessary to expel oxygenated blood through the body.  A poor diet can lead to hypertension in much younger patients.  Eating more than the recommended 1,500 mgs of sodium will cause water retention, which increases the workload on the heart.  Eating foods high in saturated fat can cause blockages or narrowing of the arteries. Patients presenting with hypertension are often asymptomatic.  Early detection and intervention are therefore vital to stop the internal damage caused by hypertension.

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Assessment

Subjective: Patient states he is fifty years old, and he feels fine. Says his diet consists of red meats, potatoes, and cheese.

Objective:  Patient‘s systolic blood pressures have been in the 180-220 range for the last 12 hours.

Diagnosis

Ineffective tissue perfusion related to arterial stiffening with age; diet high in sodium and saturated fats

Planning/Goals/Outcomes

  1. Patient’s blood pressures will be in normal range by 3/30/15.
  2. Patient will verbalize three foods to avoid on a low sodium diet and the reason why diets high in sodium can cause high blood pressure by 3/28/2015.

Interventions

  1. Administer Lisinopril 10mg daily after assessing patient’s blood pressure and pulse.

Rationale: Lisinopril is an ACE inhibitor prescribed to lower a patient’s blood pressure. Checking blood pressure and pulse before Lisinopril administration is necessary to monitor effectiveness of the medication. It also prevents furthering an episode of hypotension caused by too high of dosage.

  1. Educate patient on low sodium diet and foods to avoid.

Rationale: Foods high in sodium include fast food, canned and prepackaged foods, and cheese. Diets high in sodium can increase blood pressure by causing water retention, thus increasing the workload of the heart and increasing blood pressure.

Evaluation

  1. Patient’s blood pressure assessment at 8AM on 3/30/2015, was 119/75 mmHg.
  1. Patient’s verbalized three foods high in sodium content including canned vegetables, canned soups, and fast food and explained that excessive sodium causes fluid retention leading to high blood pressure on 3/28/2015.

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