Question

Patient Profile HTN

T.R. a 48-year old male who comes monthly to the community health screening for blood pressure checkups. He says he has had some headaches lately and a little dizziness.

Subjective Data

• Is a truck driver and eats a lot of fast food
• States it is hard to “eat healthy” on the road
• Has smoked one-half pack of cigarettes per day for 30 years

Objective Data

• Blood pressure 182/104, pulse 90, temperature 97.0° F, respirations 24
• Height 5’10”, weight 248 lbs

USING ADPIE- Assessment, Diagnosis, Planning, Intervention, Evaluation

part 1- You will be assigned one of the above topics. You will need to write a care plan using the following information as a summary of the disease, making sure to include all of the points below and then teach this topic to a classmate. You will use this care plan to teach a classmate and you will be critiqued by your classmate:

• 5 pts: Pathophysiology of the disease: In your own words, write the pathophysiology of the disorder and relate the clinical manifestations of each back to the pathophysiology based on the information you taught your peer.
• 5 pts: Clinical manifestations of the disease (at least two assessment findings)
• 5 pts: Two nursing diagnoses: Discuss 2 nursing diagnoses common to patients and the interventions you chose for each diagnosis.
• 5 pts: Treatment plan (at least two interventions: interprofessional and nursing care) and the rationale for interventions

5 pts: Four patient teaching points for this disease: Include the disease, the treatment plan, and the evaluation of the effectiveness of your teaching

part 2- You will need to teach this topic to a classmate. Your teaching will be critiqued by your classmate. Your lesson should last no more than 25 minutes. Your lesson should include:

5. 4 pts: Teach the pathophysiology of the disorder and relate the clinical manifestations of each back to the pathophysiology.
6. 4 pts: Explain the common signs and symptoms they would expect to experience with this disease
7. 4 pts: Discuss the treatment plan they may expect if admitted to the hospital (include at least two interventions: interprofessional and nursing care)

5. 4 pts: Give them the rationale for the interventions that may be used
6. 4 pts: Include four patient teaching points for this disease: Include the disease, the treatment plan, and the evaluation of the effectiveness of your teaching.
7. 5 pts: Overall presentation

Answer 1

Pathophysiology

There are two main factor which cause the blood pressure high

Firstly there is havivly use of the fast food which have high sodium level in it that lead to increase sodium in blood and cause hypertension

Secondly there is smoking history from last 30 years ,,so due to stimulation of the sympathetic nervous systems by nicotine lead to the increase in the blood pressure

Increase blood pressure lead to the increease in the respiratory rate of the body

Treatment

1.strict stoppage of the smoking

2. Take healthy diet like green vegetables,fruits,and light food

3.avoid type-1 personality

4 take amliodepin 5mg for lowering the blood pressure

5.Take pentaprazol stat before the morning breakfast

6. Strict monitoring of bp in morning and evening

Sign and symptoms

Headache

Dizziness

Vomiting

Anxiety

Long term manifestation

Stroke

Atherosclerosis

Peripheral vascular disease

Hypertensive retinopathy

Patient education

Check for blood pressure in morning and evening

Take amliodepin once a day regularly

Avoid fast food

Take healthy diet