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Related Concept Videos

Hypertension V: Nursing Management01:23

Hypertension V: Nursing Management

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The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
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Hypertension IV: Drug Therapy and Lifestyle Modifications01:28

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Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
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Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
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Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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Updated: Oct 13, 2025

Improved Home Blood Pressure Control by CT-guided Ozone-mediated Renal Denervation for Patients with Resistant Hypertension
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Team-Based Care for Improving Hypertension Management: A Pragmatic Randomized Controlled Trial.

Valérie Santschi1, Gregoire Wuerzner2, Bruno Pais1

  • 1La Source, School of Nursing Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, Lausanne, Switzerland.

Frontiers in Cardiovascular Medicine
|November 11, 2021
PubMed
Summary

Team-based care (TBC) involving nurses and pharmacists improved long-term systolic blood pressure (BP) in hypertensive patients. This intervention showed a significant decrease in systolic BP at 12 months compared to usual care.

Keywords:
healthcare professionalshealthcare services researchhypertensioninterprofessional interventionteam-based care

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Area of Science:

  • Cardiology
  • Public Health
  • Health Services Research

Background:

  • Uncontrolled hypertension remains a significant global health challenge.
  • Effective management strategies are crucial for preventing cardiovascular complications.
  • Interprofessional team-based care (TBC) models are emerging as promising approaches.

Purpose of the Study:

  • To evaluate the long-term effect of an interprofessional TBC intervention on blood pressure (BP) control.
  • To compare TBC involving nurses, pharmacists, and physicians against usual care (UC) in hypertensive patients.
  • To assess BP outcomes at 6 and 12 months post-intervention.

Main Methods:

  • A pragmatic randomized controlled trial was conducted in Swiss ambulatory clinics and community pharmacies.
  • Uncontrolled treated hypertensive patients were randomized to TBC or UC.
  • The TBC group received 6 months of intensive support from nurses and pharmacists, with physician oversight for medication adjustments.

Main Results:

  • At 12 months, the TBC group showed a statistically significant reduction in daytime systolic ambulatory blood pressure measurement (ABPM) of -7 mmHg compared to UC (p=0.01).
  • No significant difference in diastolic ABPM was observed between groups at 12 months.
  • While BP control was not significantly different at 6 months, the TBC group trended towards better systolic BP control at 12 months (p=0.07).

Conclusions:

  • The interprofessional team-based care intervention demonstrated a significant long-term benefit in reducing systolic blood pressure in uncontrolled hypertensive patients.
  • The TBC model, integrating nurses and pharmacists, offers a viable strategy for improving hypertension management.
  • Further research may explore optimizing TBC components for enhanced diastolic BP control.