Nursing Care for High Blood Pressure Singapore

Nursing Care for High Blood Pressure Singapore


High blood pressure or hypertension is one of the most very prevalent heart disease worldwide according to news and the press. The pressure in the arteries of our body becomes abnormally high thus giving a high reading in blood pressure taking devices. The top number in the fraction of the BP reading is called systolic pressure while the bottom is the diastolic pressure. Systolic is the contraction of the heart while diastolic is the relaxation. It has many causes but mostly today it's cause can be due to new sedentary lifestyle and bad diet. The normal blood pressure is 110/70 to 120/80. Prehypertension is 130/90. Stage 1 hypertension is 140/100 while stage 2 hypertension is 160/100 and above. High risk for blood pressure includes those who are old, people who smoke, with African genes, usually men due to nature of work to name a few.

Causes of High Blood Pressure

The main cause of hypertension can be broken down to two. It can be related to primary hypertension and secondary hypertension. Primary hyper tension exists because of genetic factors in which it is still unexplainable until now. This is also called idiopathic hypertension. Secondary hypertension originates from another disease or illness which can be due to endocrine conditions, pregnancy situations, use of illegal drugs for example as data suggests. Once the identifiable cause is determined through hypertension work-up, the cardiologist can start prescribing anti-hypertensive medicines. The work-up includes blood tests such as cholesterol, 2D-echo, and KUB ultrasound or kidney, ureter and bladder ultrasound as well as thyroid functions tests. Once everything is normal, then the cause is idiopathic or unknown or it can be due to genetics.

Nursing Care Plan for High Blood Pressure

The goal of the nurse must be able to help to lower or establish an acceptable blood pressure measurement for his or her patients across all age. For a patient with hypertension, the nurse must immediately take the blood pressure and other vital sign and report to the physician for to share any abnormality. Usually medications can be given to low the blood pressure if the cause is established. If due to other illness or disease, the doctors can give other medicines that can lower the blood pressure. The nurse must adequately monitor the patient's blood pressure and record it on the sheet. Nurses can also place their patients in a dark room in which they can relax well. Medical practice nowadays allows clinical health workers to monitor blood pressure by attaching to cardiac monitors. At home, this can also be done by ambulatory blood pressure monitoring devices. This is to confirm if there is really hypertension.


Hypertension is irreversible. If not treated, it can lead to lots of illness such as congestive heart failure and kidney failure which is more expensive to treat. Heart attack and stroke can also happen due to extreme pressures in our organs which we don’t want to happen. Thus, regular intake of maintenance medications must be done in order to consistently lower the blood pressure. Online site resources are available for use as education tools to log your blood pressure and view if it's abnormal or not. Just register in these websites and you may also ask the primary care physicians for their opinion. Contact the hospital with map for any chest pains or feeling of weakness in half side of the body. Health is wealth as they say and we must make sure to get the best of the world by being healthy. The sure thing we can do is exercising and eating the right kind of food.

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