Patient/caregiver was instructed regarding measures to prevent exacerbation of hypertension and complications as follows:
- Poorly controlled hypertension can result in progressive damage to renal blood vessels and compromise blood supply to the renal tissue. This can affect the renal functions and lead to diminished urine output and increased fluid and waste retention. Hypertensive individuals with history of renal disease must keep a close watch and report any progressively reducing urine volume output. Also, report any worsening episodes of confusion and altered levels of consciousness. Observe compliance with recommendations made for renal diet and fluid volume intake limitations, if any.
- Poorly controlled hypertension can result in weakening and damage to 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. Keep a close watch and report regarding any new or worsening signs and symptoms of anemia, secondary to blood loss, such as, easy fatigue, increased SOB, rapid heart rate, dizziness, and pale skin.
- Poorly managed stress and anxiety are among the major risk factors for development of hypertension and associated complications. Observe compliance with intake of medications prescribed for anxiety management, if any. Adopt alternative strategies and behavior modifying techniques for better management of stress and anxiety.