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Nursing Care Plan. Hypertension

The nursing care plan is for a 32-year-old patient with hypertension. The patient complains of headaches and dizziness. Upon assessment, the patient has elevated blood pressure, decreased cardiac output, and decreased stroke volume. The nursing diagnosis is decreased cardiac output related to malignant hypertension. Short-term goals are for the patient to have normal blood pressure within 6 hours and long-term goals are for adequate cardiac output and index within 5 days. Planned nursing interventions include monitoring for changes in blood pressure, cardiac output, and perfusion that may require attention.

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Kiara Shanelle Posadas Abrio
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457 views2 pages

Nursing Care Plan. Hypertension

The nursing care plan is for a 32-year-old patient with hypertension. The patient complains of headaches and dizziness. Upon assessment, the patient has elevated blood pressure, decreased cardiac output, and decreased stroke volume. The nursing diagnosis is decreased cardiac output related to malignant hypertension. Short-term goals are for the patient to have normal blood pressure within 6 hours and long-term goals are for adequate cardiac output and index within 5 days. Planned nursing interventions include monitoring for changes in blood pressure, cardiac output, and perfusion that may require attention.

Uploaded by

Kiara Shanelle Posadas Abrio
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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NURSING CARE PLAN

Patient’s Initials: APR Chief of Complaint: Hypertension Date:04/11/2021

Age & Gender: 32 years old Level/ block/ Group: 3BSN-14

Birthdate: December 1, 1989 Date of confinement:

Address: Dagupan City Clinical Instructor:

ASSESSMENT NURSING NURSING PLANNING INTERVENTION RATIONALE EVALUATION


ANALYSIS DIAGNOSIS

Subjective: High blood Decreased STG: 1. changes in 1. changes in STG:


“madalas pressure, also Cardiac After 6 hrs of BP may BP may After 6 hrs of nursing
akomahilo”, called Output r/t nursing indicates indicates interventions,
asverbalized by the hypertension, malignant interventions, changes in changes in the client had no
patient. is blood hypertension the client will patient patient elevation in blood
pressure that is as have no status status pressure above normal
Objective: higher than manifested elevation in requiring requiring limits and will maintain
>lethargic normal. Your by blood prompt prompt blood pressure within
>decreased cardiac blood pressure decreased pressure attention attention. acceptable limits.
output changes stroke above normal Goal was met.
>decreased throughout the volume limits and will 2. decrease in 2. decrease in
strokevolume day based on maintain cardiac output cardiac LTG:
>increased your activities. blood may output may After 5 days of nursing
peripheral vascular Having blood pressure result in result in interventions, the
resistance pressure within changes in changes in client maintained
>VS taken as measures acceptable cardiac cardiac anadequate
follows: consistently limits. perfusion perfusion cardiacoutput and
T: 37.2 above normal causing causing cardiac index. Goal was
PR: 83 may result in a LTG: dysrhythmias. dysrhythmias met.
RR: 18 diagnosis of After 5 days .
BP: 180/100 high blood of nursing 3. it may
pressure (or interventions, decreases 3. it may
hypertension). the client will peripheral decreases
maintain venous pooling peripheral
adequate that may be venous
cardiac potentiated by pooling that
output and vasodilators may be
cardiac and prolonged potentiated
index sitting or by
standing. vasodilators
and
4. caffeine is a prolonged
cardiac sitting or
stimulant standing.
and may 4. caffeine is
adversely a cardiac
affect cardiac stimulant and
function may
adversely
affect cardiac
function.
Name of student: Abrio, Kiara Shanelle P.

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