NURSING CARE PLAN FOR Hypertension

Rayan Ali AL-shahri
433101557

Nursing Diagnosis:
Decreased cardiac output related to increased peripheral vascular resistance secondary to hypertension as evidence by BP 220/115, patient complaining of blurred vision, and headache.

Subjective Data:
A 65 year old male comes into the ER complaining of blurred vision and a “very painful” headache. He states his wife took his blood pressure from his home blood pressure machine at home and it read 210/110. He states it scared him so that is why he came to the hospital. Pt admits to not taking Clonidine for the past week because it makes him dizzy and weak feeling..

Objective Data:
The patient has the following history: TIA (2005), Diabetes Type 2, Hyperlipidemia, Hypertension, and 2 Cardiac Stents (2009). The patient takes the following medications: Metformin 150 mg PO Daily, Liptor 20 mg PO at night, Plavix 75 mg PO Daily, Coumadin 2 mg PO once a day, and Clonidine 2 mg PO Daily. Current VS: HR 85, BP 220/115, O2 Sat 96% on RA, Temp 98.6 ‘F, and RR 16. Pt blood sugar is 150.

Nursing Outcomes:
-Pt’s BP will be SBP 120-130 and DBP 80-95 within 24 hours.-Pt will verbalize an absent in a headache and blurred vision within 12 hours.
-Pt will verbalized his understanding of never stopping a medication without the advice of a doctor.

Nursing Interventions:
-The nurse will administer and titrate vasodilator medications to meet md parameters for blood pressure.-The nurse will assess the patients blood pressure every hour until meeting md parameters.
-The nurse will assess the patient’s headache pain level and blurred vision every 4 hours until absent.
-The nurse will educate the patient on how to consult with his doctor before stopping a