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Nursing Care Plan

Nursing Care Plan

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Published by Ardrina Sappari

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Published by: Ardrina Sappari on Apr 29, 2012
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04/29/2012

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NURSING CARE PLANNCP 1 POTENTIALCUES: NURSINGDIAGNOSISOBJECTIVE OF CARE NURSINGINTERVENTIONSRATIONALE EVALUATIONSUBJECTIVECUES:
“Mataas ba
ang bpko? Ok lng ba iyon?Minsankasi napapasarap
ang kain ko.”
 As verbalized by thepatient.
OBJECTIVE CUES:
Temp: 36.5
cPulse Rate: 88 bpmRespiratory Rate: 19bpmBlood Pressure: 130/80mmHgRisk for pronebehaviorrelated to lackof knowledgeabout thediseaseAfter 8 hours of nursinginterventions, the patientwill be able to verbalizeunderstanding of thedisease process andtreatment regimen.
INDEPENDENT
:1. Define and state thelimits of desired BP.Explain hypertensionand its effect on theheart, blood vessels,kidney, and brain.2. Assist the patient inidentifying modifiablerisk factors like diethigh in sodium,saturated fatsand cholesterol.3. Reinforce theimportance ofadhering totreatment regimen andkeeping follow upappointments.4. Suggest frequentposition changes, legexercises when lyingdown.5. Help patientidentify sources ofsodium intake.6. Encourage patientto decrease or eliminatecaffeine like in tea,coffee, cola and1. Provides basisfor understandingelevations of BP,and clarifiesmisconceptions and alsounderstanding that high BPcan exist withoutsymptom or even whenfeeling well.2. These risk factors havebeen shown to contributeto hypertension.3. Lack of cooperation iscommon reason for failureof anti hypertensivetherapy.4. Decreases peripheral venouspooling that may bepotentiatedby vasodilators andprolonged sittingor standing.5. Two years on moderate lowsalt diet may besufficient to controlmild hypertension.6. Caffeine is acardiac stimulant andmay adversely affectcardiac function.
After 8 hours of nursinginterventions, the patient wasable to verbalizedunderstanding of thedisease processand treatment regimen.

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