NUR 2571 Hypertension concept map

Clinical Manifestations Subjective:States he has had four dizzy spells and has awakened with a headache in the occipital lobe the last two mornings. T.J. has 1 glass of wine at lunch and 2-3 beers in the evening to relax from the tension of school and work. Most of his meals are at fast-food establishments and have a high fat content. T.J. does not smoke. He used to jog 4 mornings a week but quit when he started clerking. He has had nocturia for the last 3 weeks. He is not taking any medication. T.J. states he is concerned about having hypertension because he does not want to take medication. Objective: T 98.6°F(37°C), AP 78 beats/min, R 16 breaths/min, BP 142/92 mm Hg, Wt 190 lbs (optimum weight 160). No edema noted in hands, feet, or legs. Possible Medications -Diuretics (thiazide, loop, potassium-sparing, aldosterone receptor blockers) -adrenergic inhibitors -vasodilators -angiotensin inhibitors, renin inhibitors, calcium channel blockers -Examples:Lisinopril, atenolol, hydrochlorothiazide, and metoprolol. -Medications for his anxiety would be antidepressants such as SSRIs like Prozac, Zoloft or celexa. Possible Nursing Diagnosis · Imbalanced nutrition r/t bad eating habits AEB eating fast foods high in fat content. · High blood pressure r/t stress AEB blood pressure of 142/92 and being overweight. · Risk for decreased cardiac output r/t increased afterload, vasoconstriction, myocardial ischemia and ventricular hypertrophy. · Anxiety r/t high stress levels AEB starting a new job, still attending to school, and planning a wedding. Medical Diagnosis Hypertension