Nama : Muchamad Bagus Saputrawan

Tingkat/NIM : 3B/18061

Matkul : B.inggris

A. What hypertense is  ?

A condition when the blood pressure against the artery walls is too high.
Usually hypertension is defined as blood pressure above 140/90, and is considered
severe if the pressure is above 180/120.

B. Cause of hypertense ?
There are two types of high blood pressure, namely primary hypertension and
secondary hypertension. The following are the causes of each of the two types of
hypertension:
1. Primary Hypertension
In most adults the cause of high blood pressure is often unknown.
Primary hypertension tends to develop gradually over years.
2. Secondary Hypertension
Some people have high blood pressure because they have an
underlying health condition. Secondary hypertension tends to appear suddenly
and cause higher blood pressure than primary hypertension.
Various conditions and drugs that can cause secondary hypertension include:
a. Obstructive sleep apnea (OSA).
b. Kidney problems.
c. Adrenal gland tumor.
d. Thyroid problems.
e. Congenital defects in blood vessels.
f. Medicines, such as birth control pills, cold medicines, decongestants, over-
the-counter pain relievers.
g. Illegal drugs, such as cocaine and amphetamines.
C. Make a ursing care process to pregnant mother
1. Focus Data
No Subjective Data
1. 1. Patient complain of
headaches especially the
forehead area, less
clear/blurred vision, fatigue.
Objective Data
1. Dizzy and agitated. The client
appears to frown when the
assessment is carried out.
2. Patient appears to be in pain.
3. Patient seem.
4. Cyanosis, Cold Palpable Akral.
5. Vital signs :
 Temperature 36,8°C
 Pulse 90x/min
 Breath Rate 20x/min
 TD : 150/100 mmHg
6. Urine protein 1+.
2. Data Analysts

Data Etiology Problem

DS :
1. Patient complain of Systemic vasospasm. The ineffectiveness
headaches especially of tissue perfusion.
the forehead area,
less clear/blurred
vision, fatigue.

DO :
1. Dizzy and agitated.
The client appears to
frown when the
assessment is carried
out.
2. Patient appears to be
in pain.
3. Patient seem.
4. Cyanosis, Cold
Palpable Akral
5. Vital signs :
 Temperature
36,8°C
 Pulse 90x/min
 Breath Rate
20x/min
 TD : 150/100
mmHg
6. Urine protein 1+.
3. Nursing Care. ( Diagnosis/Data, Purpose/Result Criteria and Intervention )

No Diagnosis/Data Purpose/Result Intervention

Criteria
1. The ineffectiveness After 3x24 hours of 1. Review the client's
of tissue perfusion action, it is expected dizziness/headache.
associated with that the 2. Review vision loss
systemic ineffectiveness of (usually
vasospasm is tissue perfusion can temporary).
characterized : be resolved with 3. Review vital signs
DS : KH : every 1-2 hours.
1. Patient 1. Reduced 4. Observation of the
complain of dizziness. absence of
headaches 2. Clear view. cyanosis and cold
especially the 3. No pain acral.
forehead area, complaints. 5. Encourage and or
less 4. Good Terror. assist mothers who
clear/blurred 5. Cyanosis (-), undergo baring to
vision, fatigue. warm akral. change position
DO : 6. Vital sigs : within every 2 hours.
1. Dizzy and normal 6. Provide
agitated. The  TD : 110/70- medications
patient appears 130/90 mmhg according to the
to frown when  Pulse : 60- program and
the assessment 90x/min monitor the
is carried out.  Temperature : decomposed effects
2. Patient appears 36-37°C and side effects
to be in pain.  Breath Rate:
3. Patient seem. 16-20x/min
4. Cyanosis, Cold
Palpable Akral
5. Vital signs :
  Temperature
36,8°C
 Pulse
90x/min
 Breath Rate
20x/min
 TD :
150/100
mmHg
6. Urine protein
1+

4. Nursing Care ( Implementation )

 Time/date Implementation

02 November 2020

1. Reviewing the patient dizziness/headache.

RS : Patients say pain in the head.
RO : The patient is seen in pain in the head.
2. Assessing vision loss (usually temporary).
RS : The patient said his vision was blurred.
RO : The patient looks sad as his gaze is blurred.
3. Assess vital signs every 1-2 hours.
RS : -
RO :
 Temperature 36,8°C
 Pulse 90x/min
 Breath Rate 20x/min
 TD : 150/100 mmHg
4. Observing the absence of cyanosis and cold acral.
RS : -
RO : The patient looks cyanosis and cold amorphous.
5. Encourage and or assist mothers who undergo baring to
change position every 2 hours.
RS : The patient says his waist hurts
RO : Patients look cooperative.
6. Provide medications according to the program and
monitor the decomposed effects and side effects.
RS : -
RO : Dopamet 3x500 mg.
5. Nursing Care ( Intervention )

Intervention

S:
1. Patients say pain in the head.
2. The patient said his vision was blurred.
3. The patient says his waist hurts.

O:

1. The patient is seen in pain in the head.

2. The patient looks sad as his gaze is blurred.
3. Vital signs :
 Temperature 36,8°C
 Pulse 90x/min
 Breath Rate 20x/min
 TD : 150/100 mmHg
4. The patient looks cyanosis and cold amorphous.
5. Patients look cooperative.
6. Dopamet 3x500 mg.

A:
Partially resolved issues

P:
1. Review the client's dizziness/headache.
2. Review vital signs every 1-2 hours.
3. Observation of the absence of cyanosis and cold acral.
4. Encourage and or assist mothers who undergo baring to change position
every 2 hours.
5. Provide medications according to the program and monitor the decomposed
effects and side effects