Blood Pressure/Hypertension Screening

Follow-Up • Patient adherence to treatment plan • Assess diet, activity level, lifestyle • Teach patient about home BP monitoring (reduces white coat effect)

• Introduce patient to community resources such as Albuquerque American Heart Association and New Mexico Heart Institute as a means of augmenting the teaching.

• Reinforce teaching about drugs & lifestyle management

HYPERTENSION SCREENING Ages 55-65 Julie Gantner NRSG 1535

• Monitor for adverse effects of antihypertensive drugs

(Lewis, et al, 2017, pp. 696-697).

• Screening • Knowledge • Culture • Lifestyle • Diet • Medication

Julie Gantner

Awareness • Screening

• Weight

• Knowledge of Hypertension

• Lifestyle • Culture

• Hereditary

• Addictions to Tobacco and Alcohol

• Diet

Risk Factors • Age (SBP rises progres sively with increasing age) • Alcohol • Tobacco use • Diabetes Mellitus • Elevated serum lipids • Excess dietary sodium

• Gender • Family history • Obesity • Ethnicity • Sedentary lifestyle • Socioeconomic status • Stress

(Lewis, Bucher, Heitkemper,, and Harding, 2017, p. 685).

Know The Risks and Understand

Goal DASH:

(Dietary Approaches to Stop Hypertension)

Decreasing processed foods, fast foods, red meat, salt and sugar while increasing fruits, vegetables, low-fat dairy, whole grains, fish, poultry, nuts, seeds, and beans.

(Lewis, et al, 2017, p. 688).

Screening Methods • Patient should have not smoked, exercised, or had caffeine within 30 minutes before measurement • Should be seated, no legs crossed, feet on flood, back supported • Bare patient’s arm, support at heart level • Ask patient to relax & not talk during measurement • Measure & record BP in both arms initially • Average two or more readings (taken at 1 minute intervals) • Obtain additional readings if the first two readings differ by more than 5 mm Hg • Provide patient (verbally & in writing) with the BP, BP goal, & recommendations for follow-up

(Lewis, et al, 2017, p. 696).

Introduce local community resources such as Albuquerque American Heart Association and New Mexico Heart Institute blood pressure management as a means of following up and understanding.

Diagnosis • SBP consistently > 140 mm Hg or DBP > 90 mm Hg for patients < 60 years old • SBP consistently > 150 mm Hg or DBP > 90 mm Hg for patients > 60 years old

(Lewis, et al, 2017, p. 695).

Treatment • Weight reduction

• Regular physical activity

• DASH diet (Dietary approaches to stop hypertension)

• Avoidance of tobacco products

• Sodium restriction

• Management of psychosocial risk factors

• Moderate alcohol intake

• Drug therapy

(Lewis, et al, 2017, pp. 688-689).