NURSING CARE PLAN FOR HYPERTENSION

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Subjective: Decreased STG: 1.monitor BP every1-2 1. changes in BP may indicates STG:
“madalas ako Cardiac Output After 6 hrs of hours, or every5 changes in patient status After 6 hrs of nursing
mahilo”, as verbalized r/t malignant nursing minutes during active requiring prompt attention. interventions, the
by the patient. hypertension as interventions, the titration of vasoactive client had no
manifested by client will have no drugs. elevation in blood
Objective: decreased stroke elevation in blood 2. monitor ECG for 2. decrease in cardiac output pressure above
>lethargic volume. pressure above dysrhythmias, may result in changes in normal limits and will
>decreased cardiac normal limits and conduction defects and cardiac perfusion causing maintain blood
output will maintain blood for heart rate. dysrhythmias. pressure within
>decreased stroke pressure with acceptable limits.
volume inacceptable 3. suggest frequent 3. it may decrease peripheral Goal was met.
>increased peripheral limits. position changes. venous pooling that may be
vascular resistance potentiated by vasodilators LTG:
>VS taken as follows: LTG: After 5 days and prolonged sitting or After 5 days of nursing
T: 37.2 of nursing standing. interventions, the
PR: 83 interventions, the 4.encourage patient to 4. caffeine is a cardiac client maintained an
RR: 18 client will maintain decrease intake of stimulant and may adversely adequate cardiac
BP: 180/100 adequate cardiac caffeine, cola and affect cardiac function. output and cardiac
output and cardiac chocolates. index.
index. Goal was met.
5. observe skin color, 5. peripheral vasoconstriction
temperature, capillary may result in pale, cool,
refill time and clammy skin, with prolonged
diaphoresis. capillary refill time due to
cardiac dysfunction and
decreased cardiac output.

6.auscultate heart 6. hypertensive patients often

tones. haveS4 gallops caused by
atrial hypertrophy.

7. administer 7. to promote wellness.

medicines as
prescribed by the
physician.

8. instruct client 8. restrictions can assist with

&family on fluid and decrease n fluid retention and
diet requirements and hypertension, thereby
restrictions of sodium. improving cardiac output.

9. instruct client and 9. promotes knowledge and

family on medications, compliance with drug regimen
side effects,
contraindications and
signs to report.