Hypertension 1

Living with
Hypertension
By: Lauren Hardt BSN, RN

Audience
• Adult patients or with newly diagnosed

Hypertension.
• Family seeking education to support those diagnosed
with Hypertension.
• Adult patients that need additional education due to
non-compliance with treatment plan.
• Adult patients at risk for developing Hypertension.
Purpose
• Educate patients and family members with newly

diagnosed hypertension and those already
diagnosed, how to properly manage their care.
• The material can be used as an opportunity to re-
educate those non-compliant with diet instructions,
physical activity, and medication regimen.
Goals
The patient and family will

The patient and family The patient and family
verbalize the symptoms
identifies the two stages of will explain the risk factors of
associated with hypertensive
hypertension. hypertension.
crisis and when to seek help.
The patient and family will The patient and family

The patient and family will be
verbalize the resources will understand the risk
able to list foods that are low in
available when needing involved with noncompliance
sodium and follow the DASH
additional help understanding and the long-term effects of
Diet.
their diagnosis. uncontrolled hypertension.
What is Hypertension?
• Hypertension- condition that involves elevation of force

against the artery walls.
• Untreated can cause weakening of artery walls increasing
risk of stroke and organ damage.
• Blood pressure affects organ prefusion.
• Very Common- affecting around 3 million individuals a year
• Can be treated successfully with lifestyle changes and
antihypertensive medications
Diagnosing Hypertension
• Diagnosis can come from meeting gone or more of the

following criteria:
• A 24-hour mean of ≥125 mmHg systolic or ≥75 mmHg
diastolic
• This is the favored method.
• Daytime (awake) mean of ≥130 mmHg systolic or ≥80 mmHg

diastolic
• Nighttime (asleep) mean of ≥110 mmHg systolic or ≥65
mmHg diastolic
Hypertension
Stages
• Normal blood pressure – Systolic <120
mmHg and diastolic <80 mmHg
• Elevated blood pressure – Systolic 120
to 129 mmHg and diastolic <80 mmHg
• Hypertension:
Stage 1 – Systolic 130 to 139 mmHg or
diastolic 80 to 89 mmHg
Stage 2 – Systolic at least 140 mmHg or
diastolic at least 90 mmHg
Risk Factors
Symptoms
• Typically, Hypertension is
asymptomatic, or without
symptoms.
• If symptoms do occur, they
can include:
First Line Medications
• Thiazide-like or thiazide-type diuretics
• Rids the body of access fluid along, decreasing potassium reabsorption.
• Can cause increase in urine output
• Hydrochlorothiazide, Chlorthalidone, and indapamide
• Long-acting calcium channel blockers
• Block calcium, allowing heart and vessels to relax
• Amlodipine (Norvasc), Diltiazem, Felodipine.
• Angiotensin-converting enzyme (ACE) inhibitors
• Prevents narrowing of blood vessel walls by decreasing angiotensin
• Lisinopril, Captopril, Enalapril (Vasotec)
• Angiotensin II receptor blockers (ARBs)
• Blocks hormone receptors
• Eprosartan, Irbesartan (Avapro), Losartan (Cozaar)
Goal Blood Pressure with
Medication
• The goal would be to maintain SBP less than
130 and a DBP of less than 80 while using
the antihypertensive therapy put in place.
Lifestyle Changes
• Avoid salt substitutes

• Remain consistent
• Take medications as prescribed
• Regularly track and record at home
blood pressure readings.
Diet
Resources
• Primary Care Physician/Nurse Practitioner- great

resource for monitoring and treating your disease.
Also, offers wealth of knowledge about risks and
preventative measures
• Dietician- help ease the adjustment to the new diet
• Pharmacists- educational information regarding
medication including side effects and interactions
• Insurance- contact regarding coverage for blood
pressure equipement for at home use
When to seek Help.
• Seek medical attention if home blood

pressure reading is greater than 180/120.
• Also, if you are exhibiting any of the
following symptoms:
• Chest Pain
• Shortness of Breath
• Numbness
• Weakness
We Are In This Together!
• Have good support systems!

• Celebrate Success!
• You can do it!
• Learn to take control of your health!
References
Basile, J., & Bloch, M. (2021, August 4). Overview of hypertension in adults.
Retrieved February 9, 2022, from
https://www-uptodate-com.eps.cc.ysu.edu/contents/overview-of-hypertension-
in-adults?
search=hypertension&source=search_result&selectedTitle=1~150&usage_type
=default&display_rank=1#H7525347.
Huether, S., McCance, K. (2019) Pathophysiology: The Biologic Basis For
Disease In Adults and Children (8th ed.) Elsevier.
Joel, L. A. (2018). Advanced practice nursing: Essentials for role development
(4th ed.). F.A. Davis Company.
Rosenthal, L. D. & Burchum, J. R. (2021). Lehne’s Pharmacotherapeutics for
Advanced Practice Nurses and Physician Assistants (2nd ed.). Elsevier.

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Living with

By: Lauren Hardt BSN, RN

• Adult patients or with newly diagnosed

• Educate patients and family members with newly

The patient and family will

The patient and family will The patient and family

• Hypertension- condition that involves elevation of force

• Diagnosis can come from meeting gone or more of the

• Daytime (awake) mean of ≥130 mmHg systolic or ≥80 mmHg

• Avoid salt substitutes

• Primary Care Physician/Nurse Practitioner- great

• Seek medical attention if home blood

• Have good support systems!

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