[observation of illness]

1. Blood pressure measurement should be carried out under fixed conditions, and patients should sit still or lie flat for 30 minutes before measurement.

2. When the systolic blood pressure is higher than 26kpa, you should contact a doctor in time and give necessary treatment.

3. If the patient's blood pressure rises sharply and symptoms such as headache and vomiting appear at the same time, hypertensive crisis should be considered.

Perhaps, inform the doctor immediately, let the patient stay in bed, take oxygen, prepare rapid antihypertensive drugs, dehydrating agents, etc. , such as convulsions, mania.

You should pay attention to safety when moving.

Symptom nursing

1. When the patient has obvious symptoms and signs such as headache, stiff neck, nausea, facial flushing or pulse change, it should be allowed.

The patient kept quiet and tried to eliminate all kinds of inducing factors.

2. For people with insomnia or mental stress, psychological care should be accompanied by medication or acupuncture.

3. Patients with heart, brain and kidney complications should closely observe the fluctuation of blood pressure and record the amount of fluid in detail.

Monitor the heart rate, respiration, blood pressure and consciousness of critical patients.

Keep warm in winter, keep a certain room temperature indoors, and avoid catching cold when taking a shower.

[general care]

1. Patients should rest properly at the beginning of rest, especially those who are overworked. For hypertension, the symptoms are obvious or accompanied

Those who show signs of organ damage should get enough rest. Through treatment, blood pressure is stable at a general level, and there is no obvious organ function damage, unless

After getting enough sleep, you can take part in whatever work you can and advocate appropriate sports activities, such as walking, doing exercises and playing tennis.

Extreme boxing, etc , should not be sedentary or stay in bed for a long time.

2. Diet should properly control the intake of sodium salt and animal fat to avoid high cholesterol food. Eat more vitamins and eggs.

White food, appropriate control of food intake and total calories, with light, non-irritating food is appropriate. Avoid alcohol and tobacco.

3. Psychological nursing should understand the patient's personality characteristics and whether there are psychological and social factors that cause mental stress, according to the different patients.

With the guidance of personality characteristics, train the ability of self-control, and at the same time guide relatives to avoid all kinds of possible patients.

Mental stress factors, as far as possible to reduce the psychological pressure and conflict of patients.

[Health Guidance]

1. It is necessary to widely publicize the knowledge about hypertension, arrange life reasonably, pay attention to the combination of work and rest, and measure blood pressure regularly.

2. Explain to patients or their families the importance of long-term regular treatment and health care to maintain blood pressure.

Close to the normal level to prevent further damage to organs.

3. Improve patients' social adaptability, maintain psychological balance and avoid the influence of various bad stimuli.

4. Pay attention to diet control and regulation, reduce the intake of sodium salt and animal fat, and avoid smoking and drinking.

5. Keep the stool unobstructed and take laxatives when necessary.

6. Take part in sports appropriately.

7. Follow-up regularly. If hypertension continues to rise or symptoms such as dizziness, headache and nausea appear, you should seek medical advice in time. Patients with hypertension should pay attention to:

1. Keep a happy and calm mood and avoid nervousness, panic, excitement, melancholy, sadness or excessive excitement.

2. Have enough rest and sleep every day, and keep proper exercise, such as walking and jogging; When chest pain, wheezing and facial flushing appear during exercise, they should stop immediately. If the symptoms can't improve after rest, please go to the hospital.

3. Avoid using overheated bath water when taking a bath. The water temperature is 4l~43 degrees Celsius.

4. Try to keep the standard weight and avoid being overweight.

5. Avoid smoking and drinking.

6. Eat a balanced diet, eat more fruits and vegetables, supplement rich vitamins, and keep defecation smooth.

7. Reduce the intake of animal fat, seafood, animal viscera and excessive egg yolk, and try to avoid salty and oily foods. Restaurants with heavy tastes should pay attention to adjusting the dosage.

8. Take the medicine according to the doctor's instructions. Do not stop taking drugs at will or increase the dose by yourself.

9. Sit or lie down while taking medicine, and exercise as little as possible half an hour before taking medicine to avoid postural hypotension.

10. Symptoms of a sharp rise in blood pressure: headache, dizziness, blushing, tinnitus and vomiting. At this time, you should rest immediately, measure your blood pressure, take medicine according to the doctor's advice, and seek medical advice immediately if you fail to relieve it.