Nursing Case Study On Hypertension

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Hypertension
Introduction
Hypertension is the most common condition of vascular disorder. According to recent researches, in the US, nearly 1 in 3 people are diagnosed with hypertension and in most cases patients do not experience any signs and symptoms; as a result it is known as silent killer (CDC.gov, 2014). However, high pressure of the blood against the arteries might cause headache, redness, dizziness or syncope. If left untreated hypertension can cause other lethal health problems (Mayo Clinic, 2014). In hypertension, the arterial constriction causes force of the blood against the artery walls to be increased which ultimately results in damaging of other body organs and causes serious health problems such as: stroke and heart disease
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Education is an important nursing role that helps patients understand the different mechanisms that can be used to manage or prevent risk factors of hypertension. Since patient’s diagnosed with hypertension does not show signs and symptoms mostly, it is important for a nurse to teach patients to monitor their pulse and blood pressure to avoid serious complications. Also, teaching patients to exercise, maintain healthy weight, avoid smoking and caffeine, maintain stress level, follow healthy life style and avoiding foods and beverages that are high in salts and cholesterol, is significant to control hypertension (Ackley& Ladwig …show more content…
Regarding hypertension, surgery is not common to treat the patient but, secondary hypertension that is caused by stenosis needs surgery. Patient signs the agreement document in advance of surgery based on the policy and procedure of a given institutions. However, the refusal to sign consent agreement is a common phenomenal that nurses deal with patient and any refusal of agreement is always documented in a proper manner. Regarding consents of minors parents or guardians can sign on behalf of the patient.
Evidence based practice is concerned with evidence based treatment or management of hypertension. Evidence based practice or treatment on hypertension is to lower the level of blood pressure based on the recent research information. Diuretics such as hydrochlorothiazide are used to decreases excess fluid volume so as to decrease hypertension. In addition to diuretics, beta blockers such as Metaprolol is effective medication to control sympathetic nervous system to reduce cardiac output, increase diameter of blood vessel, and lower the blood pressure (Kee & Hayes,

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