Group-5 - NCP - Ges Hyp
Group-5 - NCP - Ges Hyp
Group-5 - NCP - Ges Hyp
SUBJECTIVE DATA: Risk for Ineffective Within the 3 hours The nurse: After the 3 hours
Cerebral Tissue Perfusion implementation of nursing 1. Established rapport To gain trust and implementation of nursing
’’Sumasakit ang ulo ko at related to care, the client will be with the client. cooperation in rendering care, the client was able
ang bigat ng pakiramdam vasoconstriction able to: nursing care. It also to:
ko.’’ as stated by the secondary to makes the client calm and
client. hypertension as Decrease blood feels comfortable. Decreased blood
evidenced by 180/100 pressure from pressure from
blood pressure. 180/100 to the range 2. Closely monitored the To see the progress of 180/100 to 160/90
OBJECTIVE DATA: of 140-160/80-90 client’s vital signs the client and to avoid GOAL WAS MET
every 2 hours any complications.
BP: 180/100 mmHg Lessen the pain caused especially blood Lessened the pain
PR: 102bpm by headache pressure level. caused by headache.
RR: 24 cpm GOAL WAS MET
T: 37.0 C Avoid from 3. Monitored the fetal To ensure that the baby
complications such as heart tone every 2 inside is safe. Avoid from
pre-eclampsia due to hours. complications such as
gestational pre-eclampsia due to
hypertension 4. Instructed the patient To lower blood pressure gestational
to have bed rest and levels, improve cardiac hypertension
avoid environmental rate, and enhance renal- GOAL WAS MET
stressors. placental perfusion.