Question

In: Nursing

Write an essay (2 pages + 1 reference page = 3 pages total) on your assigned...

Write an essay (2 pages + 1 reference page = 3 pages total) on your assigned patient

Must have 2 or more references

. Your patient is a 45year old female with a medical diagnosis of Hypertension. She has a MD order for Blood Pressure checks every 4 hours (q4h).

     A. Name and describe 2 sites and 2 ways (types) to measure her Blood Pressure. (20pts)

     B. What are some of the factors that affect Blood Pressure?                       (25 pts)

(include physiology and normal and abnormal BP parameters)

     C. Discuss the advantages and disadvantages of the 2 sites and 2 ways (types) of BP                                                                               

          Measurement from your answer in question “A”                                       (20 pts)

     D. From your discussion in question “C” discuss how will this have an impact in your

          Nursing practice                                                                                                 (20 pts)

Solutions

Expert Solution

Essay:

One out of the four will have hypertension. It disturbs 50 million Americans and closely half are females. There are no indications to this sickness. Many individuals have it for centuries deprived of knowing it. This is why high blood pressure is also named the "noiseless killer." Uncontainable high blood pressure can prime to stroke, heart attack, heart failure or kidney disappointment. As a 3rd level nursing undergraduate I have had direct involvement with patients who have high blood pressure also known as hypertension. Nowadays I would like to exchange info around what is high blood pressure, risk influences, deterrence, and disease development. Let's start with the description of great blood pressure also known as hypertension.

While you are sedentary in your seats you are perhaps speculating if you are at danger for high blood pressure. Rendering to the American Heart Connotation, if you're a grownup and your blood pressure is greater than 140/90, you have great blood pressure and are at hazard for heart illness, stroke, and other medical difficulties. Blood pressure is the strength in the arteries when the heart beats and when the heart is at respite. High blood pressure can occur in children and adults, but more normally in people completed 35. One solitary reading doesn't mean you have high blood pressure, but it's a symbol that you should guard it prudently.

Now let's talk about 2 groups of risk influences, manageable and irrepressible. Controllable danger influences are those that upsurge your probabilities of emerging high blood weight, but you have the ability to adapt them. First is existence overheavy. Second is besides much salt consumption. Third is consumption too much alcohol. Fourth is lack of bodybuilding. Fifth is smoking. Sixth relates to women and is birth control medicines. And finally is stress.

Hypertension can invent from a lot of stuffs. For one object, inappropriate diet with augmented consumption of fatty and great cholesterol food can source hypertension. Expressive turbulences can also amplify the danger of hypertension. Occasionally, doctors cannot point out the cause cause of hypertension but for those which reasons are strongminded the answer is more ostensible.

If you have around glitches with your kidney's blood vessels then the probabilities of obtaining hypertension is advanced. Renal parenchymal and renal vascular sicknesses are the two maximum shared kidney sicknesses that can source hypertension.

A pregnant individual is also vulnerable to hypertension as throughout pregnancy, chief variations ensue in a woman's body. When a form acclimatizes to the baby mounting inside her, even however these vagaries are all observed as normal, some of these doings can finally principal to hypertension. Hopeful moms that have a top or an ancestry of heart glitches are counselled to be additional cautious during the entire pregnancy phase.

By means of birth control pills can also be an influence as these medicines are recognized to have some side properties. The alteration in the body's blood pressure is the main side effect of taking medicines. If you any heart glitches, probabilities are, your blood weight develops random. Your blood weight can furthermore be low or high, depending upon the response of your heart and your form. If hypertension perseveres, there are dissimilar glitches that could ascend out of it. Individuals with hypertension can indenture a stroke at any time. The probabilities of stroke are very great.

Hypertension can also reason defective dream. When the fine blood containers of the judgements disruption since of high blood heaviness you could have fuzzy dream, which can even principal to sightlessness. Hypertension can also mutilation the kidneys as the kidney's blood vessels can condense with great blood pressure.

Name and describe 2 sites and 2 ways (types) to measure her Blood Pressure.

Sites – Arm and Pedal pulse

Types - Auscutatory method and Palpatory method.

What are some of the factors that affect Blood Pressure?

-Smoking.

-overweight

-Lack of physical activity.

-ample salt in the food.

-alcohol drinking

-Stress.

Discuss the advantages and disadvantages of the 2 sites and 2 ways (types) of BP.

-The auscultatory technique is the listening of Korotkoff resonances in the brachial artery. The gold average for scientific blood pressure dimension has continuously been to gross a blood pressure using the auscultatory technique where a qualified healthcare provider customs a sphygmomanometer and attends for the Korotkoff resonances by means of a stethoscope.

- The palpatory method would be very valuable where recurrent blood pressure dimension are being complete physically like in areas, in busy OPD, patient on routine and also at whatever time stethoscope is not obtainable. The blood pressure can be unhurried in noisy setting also.


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