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Hypertension Handout Spring 2011

Hypertension Handout Spring 2011 - 1 Pre-hypertension...

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Pre-hypertension – 120-139/80-89 r Stage 1 - Systolic 140 - 159 mm Hg Diastolic 90 - 99 mm Hg - Stage 2 - Systolic >160 mm Hg Diastolic >100 mm Hg - Joint National Committee (JNC)on the Prevention, Detection, Evaluation, and  Treatment of High Blood Pressure, (new report due Spring 2011)  2 Men
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3 Non-modifiable o Family History – o Age - increases > 55 men, >65 women o African American o Modifiable o High NA diet o Overweight o Excessive alcohol o Low K intake o Smoking o Physical inactivity o Stress
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Electrolytes BUN & Creatinine Urinalysis Lipid Panel Glucose Aldosterone Renin assay Serum corticoids (Rule out Cushing’s Disease) l ECG (cardiac damage) l Chest x-Ray (if cardiomegaly) 4
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SAFETY – Risk for Injury - Hypertension S ystem Specific Assessment A nalysis Nurs DXs F irst do Priority Interventions E valuation of Outcomes ssess : /P lying, sitting. Standing on at least 3 different occasions nowledge of Meds izziness, Ability to ambulate isual Risk for Injury R/T dx of hypertensi on, medication s Instructions to rise slowly or change positions slowly Provide assistance with ambulation when needed Follow-up symptoms to report such as angioedema, edema, syncope Resources available, referrals as needed Prevention of falls (adverse effects from medications) Instructions for client & family: How to Take B/P Observe for signs of hypoglycemia B.P maintained, 140/90 Maintain
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