Saturday, March 5, 2011

Hypertension should how nursing?

The general rule of hypertension popular
(1) hypertension rates and age were positively ratio;
(2) women's menopause before prealence less than men, through menopause higher than male students;
(3) have distribution difference. General rules is the higher latitudes (cold) than in a low-latitude region (warm) area. High elevations than low altitude area;
(4) the same people who have seasonal difference is higher than that in summer, winter prevalence,
(5) and eating habits are concerned. Per capita salt and saturated fat intake, the higher the average blood pressure level higher. Often large blood pressure levels higher than nondrinkers drink or less drinkers,
(6) and economic and cultural development level were positively correlated. Backward economy and culture, not "civilized" regions have few hypertension, the more developed economy and culture, the per capita blood pressure level is higher;
(7) rates and crowd obesity and mental stress was positively associated with the physical activity level was negatively correlated;
(8) hypertension have certain genetic basis. A close relative (especially between parents and cherished) blood pressure was associated with. Different racial and ethnic between blood pressure has certain population differences.
Moderate exercise
The importance of exercise to hypertension: have a saying: "young, the use of health for money in exchange for, old age, with the movement for health". Sport besides can promote blood circulation, reduce cholesterol generated outside, and can strengthen the muscles, bones and stiff joints happening. Sports can increase appetite, promote enterogastric peristalsis, prevent constipation, improve sleep. Have sustained movement habit: had better be do aerobic exercise, which will help. Aerobic exercise with weight loss as to lower blood pressure, if take a walk, jogging, taiji, cycling and swimming are aerobic exercise.
1, exercise the note:
1 do not excessive or too tired, we should adopt a gradual way to increase the activity.
(2) attention surrounding environment, climate: summer: avoid time; the sun is shining at noon. Winter: to keep warm, preventing stroke.
(3) wear comfortable clothes absorbent cotton cloth shoes: choose etc is necessary.
4 choose safe places: such as parks, schools, not in roadway and boxes.
5 when motion, not hollow, lest produce hypoglycemia, should be in meal, 2 hours.
2, sports taboo
(1) the sick or unwell should stop movement.
(2) hunger or after meals an hour is unfavorable make exercise.
3 do not immediately stop motion, must observe sports program steps.
Colonic motion of any discomfort phenomenon, shall be halted.
Quit smoking limit alcohol
Smoking can lead to high blood pressure. Research proves that a cigarette after heart rate increase per minute 5-20 times/cent, systolic blood pressure increase 10-25mmhg. Why is this? Because tobacco contains nicotine (nachr) will be excited central nervous and sympathetic nerve, make a heartbeat to accelerate, at the same time also prompted adrenal catecholamine release a large amount, make small arteries contraction, leading to high blood pressure. Nicotine still can stimulate an intravascular chemical sensors, reflex sexual ground to cause increased blood pressure.
Long-term massively smoking will also promote artery atherosclerosis, small arteries intimal thickening gradually, make whole blood essels gradually atherosclerosis. At the same time because smokers blood hemoglobin content of carbon monoxide in increasing, which reduced blood oxygenation, make arterial endometrial hypoxia, arterial wall inner fat oxygen levels increase, accelerated atherosclerosis formation. Therefore, without hypertension who quit smoking can prevent the occurrence of high blood pressure, high blood pressure, more should give up smoking.
Compared with smoking, alcohol consumption on the advantages and disadvantages of the body is controversial. Punctuated various reports, said some drink a few wine beneficial, said some harmful, but one thing is for sure, a large number of drinking positively harmful, high levels of alcohol can cause atherosclerosis, aggravating hypertension.
Psychological balance
Hypertension in psychological performance is nervous, irritability, moody, these also are make elevated blood pressure triggers. Patients can be through change its behavior, cultivation of natural environment and social good adaptability, avoid emotional and excessive stress, anxiety, rather than calm, composure, When a larger mental pressure should be managed to release to friends, relatives, pour out or encourage participation in light-hearted leisure activities, will pour on music or spirit among 40 to flowers, make oneself life in the best state, thus maintaining stable pressure.
Self management
1, regular measure blood pressure, 1-2 weeks should be at least measurement once.
2, the treatment of hypertension should adhere to the "three heart", i.e., confidence, determination and perseverance, only in this way can prevent or delay the body vital organs damage.
3, timing antihypertensive drug medication, oneself invol reduction or withdrawal, can be in under the guidance of doctors and now add to adjust, prevent illness blood pressure slabs.
4, the condition allows, no.15 sphygmomanometer and learn self-test blood pressure.
5, with to-the appropriate medication outside, but also pay attention to the combining exertion and pay attention to diet, exercising, maintain a mood stable, sleep is enough.
6 and the elderly step-down cannot act too hastily, blood pressure should be controlled in 140-159mmhg advisable, reduce cardiovascular complications.
Seven, the elderly and taking norepinephrine can prevent nerve endings blocking drug orthostatic hypotension.
8, need not strictly prohibit sex life: pay attention to the following several circumstances, unfavorable sex for (1) later don't immediately sexual life (3) should be prohibitive onlyamusements.they drunk if have any dizziness, bosom is frowsty etc can't adapt to stop sex, and timely seek medical advice.
Home to care for himself:
Bed rest to the importance of: adopt left lie, it can lighten the uterus oppression of inferior vena cava, thus enabling venous blood circulation, thus increasing systemic increase, placenta and kidney blood perfusion and blood pressure drop.
Timely medical treatment
(1) serving out medicine
(2) elevated blood pressure or low, blood pressure fluctuations
(3) appear the dazzling, dizziness, nausea and vomiting, inspect content is not clear, hemiplegia, aphasia, consciousness obstacle, difficulty breathing, body, such as the lack namely to hospitals. If critical illness, request to save 120 rescue center.
Eight misunderstandings
1. Worry too low blood pressure drop. Influenced by traditional high blood pressure control idea influence of current proposed will blood pressure drop to ideal levels, namely the 135/85mmHg below somewhat worries about the blood pressure will therefore drop too low, cardiovascular, brain, kidney blood adverse, cause these organs vbi and induce corresponding complications. This kind of understanding is an erroneous zone. According to the modern medical research shows that blood pressure in the ideal range as low as possible, as long as smoothly will blood pressure drop to target levels below, can relieve symptoms, also can reduce the risk of various cerebrovascular event.
2. To have complications should be more low blood pressure drop too, inadequate understanding.
3. Do not pay enough attention to the drug therapy.
4. Blood pressure drop down again not necessarily drug.
5. Cure swiftly, like action fast antihypertensive drug.
6. Without drugs may also step-down.
7. Drugs, expensive medicine is good medicine.
8. Ignore blood pressure monitoring and records. The current step-down principles are emphasized indiidualized treatment. How to achieve "individualized", one is to insist on daily or weekly regular on blood pressure monitoring and record. 

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