These nanda nursing care plans include a diagnosis, and many nursing interventions for the following conditions: Hypertension
What are nursing care plans (ncb)? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a nursing care plan?
This care plan is listed to give an example of how a Nurse (LPN or RN) may plan to treat a patient with those conditions.
Important Disclosure: Please keep in mind that these care plans are listed for Example/Educational purposes only, and some of these treatments may change over time. Do not treat a patient based on this care plan.
Care Plans are often developed in different formats. The formatting isn’t always important, and care plan formatting may vary among different nursing schools or medical jobs. Some hospitals may have the information displayed in digital format, or use pre-made templates. The most important part of the care plan is the content, as that is the foundation on which you will base your care.
Nursing Care Plan for: Hypertension
If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Otherwise, scroll down to view this completed care plan.
Scenario: |
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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. 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. Pt admits to not taking Clonidine for the past week because it makes him dizzy and weak feeling. Current VS: HR 85, BP 220/115, O2 Sat 96% on RA, Temp 98.6 ‘F, and RR 16. Pt blood sugar is 150.
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Nursing Diagnosis: |
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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.
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Subjective Data: |
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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.
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Objective Data: |
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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.
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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 medication. |