Hypertension (HTN) Concept Map

Watch More! Unlock the full videos with a FREE trial

Add to Study plan
Master

Included In This Lesson

Study Tools

Blood Pressure Normal Values Cheatsheet (Cheat Sheet)
Nursing Concept Map Template (Cheat Sheet)

Access More! View the full outline and transcript with a FREE trial

Transcript

Hey guys! In this lesson, we will discuss a concept map on a patient with hypertension.




In this concept map lesson, we will cover hypertension risk factors and education, labs and meds, and the nursing diagnoses, interventions, and evaluation. Let’s start with a quick patho.




So, there are many factors that cause a patient’s vessels to constrict or narrow, which causes the blood pressure to rise.  This rise in blood pressure causes further damage to the vessels, causing build-up of plaque narrowing the vessels, resulting in the blood pressure rising even more. It’s a vicious cycle. Let’s take a look at our concept map.




So our patient is admitted to the hospital, and has high blood pressure. Risk factors that led to the hypertension includes obesity, unmanaged stress, and smoking. We would educate this patient to work on weight loss, manage their stress, and stop smoking to help bring their blood pressure down. There isn’t a specific lab to test for hypertension, but instead we check their blood pressure.  Labs were completed on this patient to check other organs because high blood pressure puts strain on the heart and kidneys. This patient had a urinalysis and BMP to see how well kidneys are working. A cardiac panel includes troponins and myoglobin to determine if there is damage to the heart.


This patient is on metoprolol 25 mg PO to help relax the vessels, causing them to dilate, decreasing the blood pressure. Hydralazine 20 mg IV is given prn to quickly bring down the pressure.


Our patient’s first nursing diagnosis is excess nutrients leading to their obesity and high blood pressure. Our nursing interventions include assessing factors that lead to overeating,  educating on food portions, setting goals for weight loss. The outcome for evaluation is that the patient describes appropriate weight loss techniques.


The next nursing diagnosis is ineffective individual coping strategies leading to unmanaged stress. Our nursing interventions include gaining rapport with the patient, provide opportunities to express concerns and feelings, and assisting with constructive problem-solving. Our outcome for evaluation is that the patient will describe a plan for effective coping and stress relief.


Our last nursing diagnosis is knowledge deficit. Our patient doesn’t quite understand why his blood pressure is high or what he can do to help it. Our nursing interventions include providing clear information with regards to the techniques that help them learn. For example, they may learn best from pictures or videos. We will keep the information short and to the point, and consider the patient’s literacy skills. The outcome for evaluation is that the patient will express an understanding of what hypertension is and how they can help decrease their blood pressure. 


Here is a cleaned up version of our concept map. 


We love you guys! Go out and be your best self today! And as always, Happy Nursing!





View the FULL Transcript

When you start a FREE trial you gain access to the full outline as well as:

  • SIMCLEX (NCLEX Simulator)
  • 6,500+ Practice NCLEX Questions
  • 2,000+ HD Videos
  • 300+ Nursing Cheatsheets

“Would suggest to all nursing students . . . Guaranteed to ease the stress!”

~Jordan