HYPERTENSION

• Florence Olatule
• Grace Nwafor
• Kaine Princewill
• Esther Malomo 1
Outline
• What The Disease/Disorder Is?
• Signs And Symptoms Of Hypertension
• Is It Genetic Or Hereditary?
• Current Treatments And Medications
Available
• Special Consideration For Care
• Role As A CCA In Caring For Someone With
Hypertension
• Conclusion

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What The Disease/Disorder Is?
• When blood pressure, or the
force of blood pushing against
the walls of blood vessels, is
continuously too high, this
condition is referred to as high
blood pressure, or hypertension.
• Blood pressure is measured in
millimeters of mercury (mmHg).
• A diagnosis of high blood
pressure is usually based on the
average of two or more readings
taken on separate occasions.
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Categories of blood pressure
• The American College of Cardiology and the American Heart Association divide blood pressure into four
general categories. Ideal blood pressure is categorized as normal.
Signs And Symptoms Of Hypertension

• Due to the potential for life-threatening

consequences, hypertension or high blood
pressure requires medical intervention.
• The lack of symptoms with this disorder,
which can make people unaware they
require treatment, is one of its most
alarming features.
• Regular blood pressure checks are
recommended for people with high blood
pressure. In adults over 20 years old, this
illness affects about one-third of them.

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 • Hypertension tend to to run in families. Individuals
whose parents have hypertension have an elevated
Is It Genetic Or risk of developing the condition, particularly if both
Hereditary? parents are affected.
• The risk for high blood pressure can increase even
more when heredity combines with unhealthy
lifestyle choices, such as smoking and eating an
unhealthy diet.

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 Current Treatments And Medications Available

• There are three main classes of medication use as first line treatment for
hypertension.
1. Calcium Channel blockers(Amlodipine, Nifedipine): reduce BP by widening the
blood vessels. Side effects :headaches, swollen ankles and constipation.
2. Angiotensin converting enzyme inhibitors and Angiotensin receptor
blocker(Lisinopril, Losartan): reduce BP by relaxing the blood vessels. Common
side effect is persistent dry cough. Others are dizziness, headaches a rash, cold or
flu-like symptoms.
3. Diuretics - water pills : (Indapamide and Bendroflumethiazide) work by flushing
excess water and salt from the body through the pee. Side effects may include
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 The following are the nursing priorities for patients with hypertension:

Special  Prevent complications and death through aggressive hypertension

management.
Consideration
For Care  Weight reduction and lifestyle & dietary modifications.
 Promoting adherence to therapeutic regimen.
 Increased physical activity and exercise.
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 Role As A CCA In Caring For
Someone With Hypertension The objectives for caring for a hypertensive
patient focuses on lowering and controlling of
blood pressure without adverse effects and
without undue cost, the CCA role in caring for
such patient will include the following:
 Support and teach the patient/client to
adhere to the treatment regimen by
implementing necessary lifestyle changes.
 Encourage Patient/Client to take
medications as prescribed by the physician.
 Scheduling regular follow up appointments
with the health care provider to monitor
progress or identify and treat any
complications of diseases or therapy.
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References
• Whelton PK, Carey RM, Aronow, WS, Casey DE, Collins KJ, Himmelfarb CD, et al.
2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA
/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and
management of high blood pressure in adults: a report of the American College
of Cardiology/American Heart Association Task Force on Clinical Practice Guideli
nes
. J Am Coll Cardiol. 2018;71(19):e127–e248.
• National High Blood Pressure Education Program.
The Seventh Report of the Joint National Committee on Prevention, Detection, Ev
aluation, and Treatment of High Blood Pressure
[PDF – 223K]. Bethesda, MD: National Heart, Lung, and Blood Institute; 2003.
• Source: National Center for Chronic Disease Prevention and Health Promotion ,
Division for Heart Disease and Stroke Prevention
Conclusion

• Hypertension Nursing NCLEX Review – YouTube

• https://www.youtube.com/watch?v=Qm5kB5X70oA

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