Cues/Data Nursing Background Analysis Short/Long Nursing Rationale Evaluation

Diagnosis Term Intervention

Objectives
SUBJECTIVE: Risk for High blood pressure (HBP) After 8 hours INDEPENDENT: After 8 hours
“Bakit kaya prone or hypertension means of nursing -Define and -Provides basis of
madalas ako behavior high interventions, state the limits for nursing
mahilo?”, as related to Pressure (tension) in the the patient of desired BP. understanding interventions,
verbalized lack of arteries. Normal blood will verbalize Explain elevations of the patient
by the knowledge pressure is understanding hypertension BP, was
client. about the below 120/80; blood of the disease and its effect and clarifies able to
disease pressure process and on the heart, misconception verbalize
OBJECTIVE: between 120/80 and treatment blood vessels, s. understandin
-Request for 139/89 is regimen. kidney, and g
information. called "prehypertension", brain. of the disease
-Agitated and a blood pressure of - Assist the process and
behavior 140/90 or above is patient in -These risk treatment
- Inaccurate considered high. An identifying factors have regimen.
follow elevation of the systolic modifiable risk been shown to
through and/or factors like diet contribute to
of diastolic blood pressure high in sodium, hypertension.
instructions. increases the risk of saturated fats
developing heart (cardiac) and cholesterol.
V/S taken as disease, kidney -Encourage -Caffeine is a
follows: (renal) disease, hardening patient cardiac
T: 37.2 of the to decrease or stimulant
P: 84 Arteries eliminate and may
R: 18 (atherosclerosis/arterioscl caffeine adversely
BP: 120/80 erosis), like in tea, affect
and stroke (brain coffee, cardiac
damage). cola and function.
chocolates.
-Stress -Alternating
importance of rest
accomplishing and activity
daily rest increases
periods. tolerance to
activity
progression.
COLLABORATIV -Community
E: resources like
 -Provide health centers
information programs and
regarding check ups are
community helpful in
resources, and controlling
support hypertension.
patients in
making
lifestyle.
Brand/Generic Action Indication/Classifica Adverse Effects Nursing
Name tion Responsibility
Generic Name: Zithromax is an macrolide Zithromax is used to • mild nausea, -Take this medication
azithromycin antibiotic related to treat many different vomiting, by mouth with or
erythromycin. It fights types of infections diarrhea, without food, usually
Brand Name: bacteria in the body. caused by bacteria, constipation; once a day, or as
Azithromycin such as respiratory • stomach pain directed by your doctor.
infections, skin or upset; You may take this
infections, ear • dizziness, tired medication with food if
infections, and feeling, or stomach upset occurs.
sexually transmitted headache; -Continue to take this
diseases. • nervous feeling, medication until the full
sleep problems prescribed amount is
(insomnia); finished even if
symptoms disappear
• mild itching or
after a few days.
skin rash;
-Inform your doctor if
your condition persists
• decreased or worsens.
sense of taste
or smell.
Generic Name: Antipyretic, Analgesic. Pyrexia of unknown • Skin eruption -Paracetamol should be
Paracetamol origin and for • Hematological given with care to
symptomatic relief of toxicity patients with impaired
Brand Name: fever and pain Methemoglobin hepatic or renal
Aeknil associated with aemia function.
common childhood • On long-term
disorders. For use, renal
prevention of febrile damage can
convulsion. result.