INTERVENTION FOR HYPERTENSION
GOALS:
- To reduce the BP and to prevent or lessen the extent of organ damage.
- Question the client regarding the signs and symptoms indicative of hypertension.
- Obtain the BP 2 or more times on both arms, with the client supine and standing.
- Compare the BP with prior documentation.
- Identify current medication therapy.
- Obtain weight.
- Evaluate dietary patterns and sodium intake.
- Assess for visual changes or retinal damage.
- Assess for cardio vascular changes such as distended neck veins, increased heart rate, and dysrhythmias.
- Evaluate chest x-ray for heart enlargement.
- Assess the neurological system.
- Evaluate renal function.
- Evaluate results of diagnostic and laboratory studies.
NON PHARMACOLOGICAL INTERVENTIONS:
- Weight reduction, if necessary, or maintenance of ideal weight.
- Dietary sodium restriction to 2 g daily as prescribed.
- Moderate intake of alcohol and caffeine containing products.
- Initiation of a regular exercise program.
- Avoidance of smoking.
- Relaxation techniques and biofeedback therapy.
- Elimination of unnecessary medications that may contribute to the hypertension.
PHARMACOLOGICAL INTERVENTION:
- Medication therapy is individualized for each client and the selection of the medication is based on such factors as the client's age, culture,, presence of coexisting conditions, severity of hypertension, and client's preferences.
- Diuretics like "prills" ( captoprill, ramiprill)
- Loop diuretics
- Thiazide diuretics
- 𝛃- blockers "olol" (atenolol)
- Calcium channel blockers.
