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The fact in regards to the Nursing Diagnosis for Hypertension Assessment

Before we will discover the Nursing Diagnosis for Hypertension assessment, we have to learn and understand what hypertension is. The definition of hypertension, many raised by health experts. WHO suggests that hypertension is the place hypertension above 160/95 mmHg, meanwhile, Smelttzer & Bare (2002:896) shows that hypertension is a persistent blood pressure level or continuous thus exceeding the traditional limit in which the systolic pressure above 140 mmHg and diastolic pressure above 90 mmHg.

There are differences about the limits of hypertension as proposed by Kaplan (1990:205), namely men, aged lower than 45 years, said hypertension when blood pressure level when lying above or add up to 130/90 mm Hg, whereas on the age of 45 years, said hypertension when blood pressure level above 145/95 mmHg. Whereas ladies with blood pressure level above 160/95 mmHg.

Determined by these definitions could be concluded that hypertension can be an increase in hypertension where systolic pressure over 140 mmHg or diastolic over 90 mmHg.

Classifications of Hypertension Nursing Diagnosis

The classifications of For more information, please visit the web site. Nursing Diagnosis for Hypertension are also expressed by a lot of experts, including WHO set a classification of hypertension into three levels namely:

•Level I: increased blood pressure level without symptoms of the disorder or injury to the cardiovascular system. •Level II: blood pressure with the signs of cardiovascular hypertrophy, but with no symptoms of damage or disruption of the appliance or another organs. •Level III: blood pressure increased with obvious signs and symptoms of damage and disruption in the target organ physiology.

The cause of Hypertension Nursing Diagnosis varied are: stress, obesity, smoking, hypernatremia, water and salt retention which is not normal, sensitivity to angiotensin, obesity, hypercholesterolemia, adrenal gland disease, kidney disease, toxemia gravidarum, increased intra-cranial pressure, brought on by brain tumors, influence of certain drugs eg oral contraceptives, high salt intake, lack of exercise, genetics, obesity, atherosclerosis, kidney abnormalities, but largely unknown cause.

Fact in regards to the Nursing Care Plans for Hypertension

Base to Doenges, (2004:41-42) and argued that the assessment of patients with Nursing Care Plans for Hypertension includes:

•Activity and rest include: weakness, fatigue, breathlessness, heart frequency increases, adjustments to heart rhythm. •Circulation includes: a medical history of hypertension, cardiovascular disease, instances of palpitations, increased blood pressure, tachycardia, sometimes sounding S2 heart sounds at the base of S3 and S4. •Ego integrity include: anxiety, depression, euphoria, irritability, facial muscle tension, anxiety, respiratory haul, increased speech patterns. •Elimination include: reputation kidney disease. •Food / fluids include: food preferences especially those containing high salt, fatty, and cholesterol, nausea, vomiting, weight changes, a history of diuretic drugs, presence of edema. •Pain / discomfort: include intermittent pain in the limbs, sub-occipital headaches severe abdominal pain, chest pain. •Respiratory include: shortness of breath after activity, cough with or without sputum, smoking history, medication use respiratory Bantu, additional breath sounds, cyanosis. •Security include: gait disturbance, paresthesia, postural hypotension. •Pembalajaran / extension inside presence of family risks are arteriosclerosis, cardiovascular disease, diabetes, kidney disease.

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