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CHAPTER V NURSING CARE PLAN AND DRUG STUDY 1.

Dizziness ASSESSMENT Subjectve: maul ulaw ak daduma as verbalized by the Patient. V/S taken as follows: BP- 1080/100 mmhg RR- 22 PR- 78 T- 36.2 DIAGNOSIS -Risk for prone behaviour related to lack of knowledge about the disease. INFERENCE -High blood pressure (HBP) or hypertension means high pressure(tension) in the arteries. Arteries are vessels that carry blood from the pumping heart to all the tissues and organs of the body. High blood pressure does not mean excessive motional tension ,although emotional tension and stress can temporarily increase blood pressure. Normal blood pressure is below 120/80;blood pressure between 120/80and 139/89 is called "prehypertension". PLANING -After 8 hours of nursing interventions ,the patient will verbalize understanding of the disease process and treatment regimen INTERVENTION -Assist the patient in identifying modifiable risk factors like diet high in sodium, saturated fats and cholesterol. -Reinforce the importance of adhering to treatment regimen and keeping follow up appointments. RATIONALE -These risk factors have been shown to contribute to hypertension EVALUATION -After 8 hours of nursing interventions ,the patient was able to verbalize understanding of the disease process and treatment regimen

-Lack of cooperation is common reason for failure of antihypertensive therapy

-Decreases peripheral venous -Suggest frequent pooling that may position changes ,leg be potentiated by exercises when lying vasodilators and down. -Caffeine is a cardiac stimulant -Encourage patient and may adversely to decrease or affect cardiac eliminate caffeine function. like in tea, coffee ,cola and chocolates.

2. Headache

ASSESSMENT Subjective: Sumakit Sakit toy ulok ti duwa aldawen as verbalized by the patient. Objective: BP- 1080/100 RR- 22 PR- 78 T- 36.2

DIAGNOSIS -Ineffective individual coping r/t situations of crisis, personal vulnerability, not adequate support systems, work overload, inadequate relaxation, severe pain, excessive threat to himself.

INFERENCE -Due to the sudden fall of the patient it may cause a minor trauma to the patients head.

PLANING INTERVENTION -After 8 hours the -Assess for patient states that referred pain, as the headache is appropriate. no more to be felt.

RATIONALE -To help determine possibility of underlying condition or organ dysfunction requiring treatment. -To medicate prophylactically, as appropriate.

EVALUATION -After 8 hours the patient states that the headache is no more to be felt.

-Note when pain occurs.

-Instruct in and encourage use of -To distract relaxation attention and technique such as reduce tension breathing , imaging, and listening to music -Provide comfort measure. -Notes clients attitude towards pain and use of pain medication including any

-To promote nonpharmacologic pain management

history of substance abuse.

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