What Is HTN

HTN is the abbreviation for hypertension or high blood pressure. Around 70 million adult Americans or 1 out of 3 adults suffer from hypertension (CDC). Of course, over half of the individuals will control their blood pressure levels with drugs to treat hypertension including diuretics, beta blockers, calcium channel blockers, and ACE inhibitors, but there are still those that refuse to gain control over their condition.

HTN Symptoms

  • Angina (chest pain)
  • Dyspnea (chest pain0
  • Heart palpitations
  • Fatigue
  • Blurred or diplopia (double vision)
  • Arrhythmias (irregular heart beat)
  • Hematuria (blood in urine)
  • Confusion
  • Pre-hypertension blood pressure reading 120-130/80-89
  • Stage I hypertension blood pressure reading 140-159/90-99
  • State II hypertension blood pressure reading higher than 160/100

Pulmonary Hypertension Treatment

There is no cure for pulmonary hypertension, but there are many different types of medications that are effective in treating the Group 1 pulmonary arterial hypertension symptoms. Below you will discover a list of drugs for hypertension.

  • Calcium channel blockers (dilitiazem)
  • Prostanoid (epoprostenol)
  • Endothelin receptor antagonists (bosentan)
  • Diurectics (Lasix)
  • Digoxin
  • Oxygen therapy
  • Routine physical activity
  • Lung transplant surgery
  • Heart/lung transplant surgery

Group 2 pulmonary hypertension (left side of heart affected) may potentially be combated with lifestyle changes and medications.

Group 3 pulmonary hypertension (lung diseases) can be treated with oxygen therapy and medications.

Group 4 pulmonary hypertension (blood clotting in lungs) can be treated with anticoagulants or surgery in severe cases.

Natural Remedies For Hypertension

  • Fish Oil contains omega-3 fatty acids
  • Hibiscus tea
  • Chocolate
  • Magnesium
  • Vitamin D (fish and eggs)
  • Low-fat diet
  • Raw green coffee beans
  • Folic acid (dark leafy green veggies)
  • Potassium (dark leafy green veggies)
  • Monitor sodium, caffeine, and alcohol intake
  • Exercise on a daily basis
  • Lose weight

Nursing Care Plan for Hypertension

There are many nursing diagnosis for HTN, which can be seen below.

  • Ineffective Tissue Perfusion
  • Acute Pain related to headache or chest pain
  • Risk for Decreased Cardiac Output
  • Activity Intolerance related to oxygen imbalance
  • Nutritional Imbalance more than body requirements
  • Knowledge Deficient regarding treatment plan
  • Self Care Deficient related to shortness of breath

Interventions

  • Orthostatic blood pressures
  • Assess effective coping strategies
  • Document sleep disturbances, irritability, and increasing fatigue
  • Assist with ADLs
  • Encourage bed rest
  • Elevate HOB
  • Utilize pain scale
  • Assess emotional and psychological status
  • Encourage activity progressively
  • Administer medications as prescribed by physician

Desired Outcomes

  • Participate in activities without pain
  • Maintain normal B/P levels
  • Report progressive increase in activity tolerance
  • Demonstrate decreased physiological intolerance signs
  • Verbalize relief
  • Report accurate pain levels
  • Demonstrate use of diversion techniques and activities