Inter American University of Puerto Rico Metropolitan Campus Department of science and technology School of nursing Carmen Torres of Tiburcio TEACHING-LEARNING PLAN FOR THE FAMILY AS CLIENT informational After nursing intervention the Intervention, the family pressure. (question and answer)pamphlets. Family were: Will be able to : II. Causes of elevated blood pressureLectureLaptop 1. Recall the definition of blood
1. Recall thePressure Definition of elevated III. Risk factors of elevated bloodDiscussion
2. Identify causes of having Blood pressure pressure elevated blood pressure
a. Family historyLecture
3.Be familiar with signs and 2. Identify the causes
b. Age (question and answer)symptoms of elevated blood Of having elevated
c. High salt intake pressure Blood pressured. Obesity
e. Excessive alcohol
4. Know ways how to manage
5. Be familiar with intake. The elevation of blood pressure Signs and symptoms Of elevated blood pressure IV. Management of elevated Blood pressure
6. Know ways how to manage
a. diet The elevation of blood
b. exercise Pressure. V. Importance of follow up Check up. I term goal
After 6 hours of nursing interventions, the client will have no elevation in blood pressure above normal limits and will maintain blood pressure within acceptable limits. Long term goal After 5 days of nursing interventions, the client will maintain adequate cardiac output and cardiac index.
1. Monitor BP every1-2 hours, or every5 minutes duringactive titration ofvasoactive drugs.
2. Monitor ECG for dysrhythmias, conduction defects and for heart rate.
3. Suggest frequentposition changes.
4. Encourage patient to decrease intake of caffeine, cola and chocolates. . Observe skin color, temperature, capillary refill time and diaphoresis.
5. Monitor for sudden onset of chest pain.
6. Monitor ECG for changes in rate, rhythm, dysrhythmias and conduction defects.
7. Observe extremities for swelling, erythema, tenderness and pain. Observe for
1. To monitorbaseline data.
2. Caffeine is a cardiac stimulant and may adversely affect cardiac function.
3. These drugs have rapid action and may decrease the blood pressure too rapidly, resulting in complications.
4. May indicate cyanide toxicity from increasing intracranial pressure.
5.Input and Output will give an indication of fluid balance or imbalance, thus allowing for changes in treatment regimen when required.
6. May indicate dissecting aortic-aneurysm.
7. Decreased perfusion may result in dysrhythmias caused by decrease in oxygen.
8. Bed rest promotes venous statistics which can increase the risk of thromboembolus Short term goal After 8 hours of nursing interventions, blood pressure maintained within set parameters for the client. Goal was met. Long term goal After 6 days on using interventions, the client had and equate tissue perfusion to his body systems. Goal was met.
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