Patient/caregiver was educated upon findings to watch for and report with hypertension as follows:
- Elevated BP readings: Observe compliance with log maintenance of everyday blood pressure readings. Report to your physician regarding any consistent systolic readings below 90 and above 160. Report consistent diastolic readings below 60 and above 90. Report any consistent heart rate readings below 55 and above 100.
- Vision changes: Poorly controlled hypertension can result in progressive damage to retinal blood vessels and compromise visual function. Report any sudden changes/diminishing with vision.
- Headaches and nosebleeds: Elevated pressure in the blood vessels of head and neck can result in episodes of pounding in the neck and ears, pounding headaches, and nosebleeds. Report any occurrences of unusual headaches and nosebleeds, for necessary medication changes and consideration of other appropriate measures, to facilitate better control of BP numbers.
- Internal bleeding: Poorly controlled hypertension can result in weakening of blood vessels in the body, resulting in episodes of internal bleeding and blood loss. Keep a close watch on the color of urine and stool, to report passing of any blood. Patients can present with hypotension, secondary to blood loss. Report to your physician regarding any acute increase in episodes of confusion and dizziness, along with any occurrence of falls and accidents.
