Hypertensive Emergency is severe hypertension (high blood pressure) with acute impairment of an organ system (especially the central nervous system, cardiovascular system and/or the renal system) and the possibility of irreversible organ-damage. In case of a hypertensive emergency, the blood pressure should be lowered aggressively over minutes to hours with an antihypertensive agent.
Nursing Care Plans
Decreased Cardiac Output
NDx: Decreased cardiac output r/t altered stroke volume secondary to hypertensive emergency
Hypertension is defined as a condition wherein there is an increase in BP beyond the normal range. Hypertensive emergency is used for BPs above 160/100mmHg. With hypertension, the blood vessels constrict. When blood vessels are constricted, there is a decrease in blood volume, decrease in cardiac output and increase in BP as blood passes through the narrowed lumen of the vessels.
|Assessment||Objectives||Nursing Interventions||Rationale||Expected Outcome|
After 6 hours of NI, the pt will manifest hemodynamic stability (BP, CO, UO, PR) pt shall also verbalize understanding of the disease process & risk factors
After 4 days of NI, the pt will participate in activities that decrease blood pressure
||The pt shall have manifested hemodynamic stability (BP, CO, UO, PR) pt shall have also verbalized understanding of the disease process & risk factors.The pt shall have participated in activities that decrease blood pressure|
Other Possible Nursing Care Plans
- Risk for Noncompliance
- Acute Pain
- Altered [Cardiopulmonary] Tissue Perfusion