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Hypertension, is a long term medical condition in
which the blood pressure in the arteries is persistently
Symptoms of
hypertension
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
Much of no symptoms.
Pain in the back of the head.
Stiff neck.
Fatigue.
Nausea.
Shortness of breath.
Restless.
Vomiting.
Easily offended.
Hard to sleep.
ETIOLOGI
1.Primary hypertension
2.Secondary hypertension
Hemodynamics
and
physiologic
components
vary,
indicating
that
primary
1.Primary
are probably hypertension
involved in sustaining
2.Secondary hypertension
Causes
include
primary
aldosteronism,
renal
uropathy,
renovascular,
of
curable
sympathomimetics,
hypertension.
corticosteroids,
Use
cocaine,
of
or
PATHOPHYSIOLOGY
CAUSES OF
HYPERTENSION
Smoking
Being overweight
Lack of physical activity
Too much salt in the diet
Drinking too much alcohol (more
than 1 to 2 drinks per day)
Older age
Family history of high blood
pressure (heredity)
Race (African Americans have high
blood pressure more often and more
severely than White Americans)
Having chronic kidney disease
COMPLICATIONS
COMPLICATIONS
Artery
damage
and
narrowin
g
Aneurys
m
Damage
to your
arteries
COMPLICATIONS
Corona
ry
artery
diseas
e
Enlarg
ed left
heart
Heart
failure
Damag
e to
your
heart
COMPLICATIONS
Stroke
Transien
t
ischemic
attack
(TIA)
Dementi
a
Damag
e to
your
brain
Mild
cognitiv
e
impairm
ent
COMPLICATIONS
Kidney
scarring
(glomeruloscle
rosis)
Kidney
failure
Damage
to your
kidneys
Kidney
artery
aneurys
m
COMPLICATIONS
Eye blood
vessel
damage
(retinopathy)
Fluid buildup
under the
retina
(choroidopathy
)
Damag
e to
your
eyes
Nerve
damage
(opticneuropa
thy).
CLINICAL MANIFESTATION
e
v
i
t
c
Subje
D a ta
CLINICAL MANIFESTATION
e
v
i
t
c
Obje
data
Epistaxis
Elevated blood pressure : systolic >140 mmHg,
NURSING DIAGNOSIS
1.Acute
E
N
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L
P
E
R
A
C
G
N
N
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O
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R
A
T
NU
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P
M
I
AND
g
sinDescribe
Nur1.
the nature of the disease and the
i
ntas
ofthe procedureand the treatment of
Implemepurpose
on hypertension.
2. Explain the importance of a peaceful environment
and theraupetik, and management of stressors.
3. Discuss the importance of maintaining a stable
weight.
4. Discuss the need for low-calorie diet, low in
sodium to order.
5. Discuss the importance of avoiding fatigue in the
activity.
6. Explain the need toavoid constipationin the
bowel movement.
7. Explain penetingnya maintain proper fluid intake,
amount allowed, restrictions such as caffeinated
coffee, tea and alcohol.
8. Discuss the symptoms of relapse or progression of
complications reported to the doctor: headache,
dizziness, fainting, nausea and vomiting.
9. Talk about drugs: the name, dosage, time of
administration, purpose and side effects or toxic
EVALUATI
ON
1. Patients revealed the absence of headache and looked
comfortable
2. Patients demonstrating an improved tissue perfusion
as indicated by: blood pressure within acceptable
limits, no complaints of headache, dizziness, laboratory
values within normal limits.
3. Stable vital signs.
4. Urine output 30 ml / min
5. Patients can express their knowledge and skills of the
management of early treatment of hypertension.
6. Reported the use of drugs according to medical advice.
7. Demonstrate stable cardiac rhythm and rate within
patients normal range.
8. Maintain blood pressure within individually acceptable
range.