when assessing a patient with portal hypertension, nurse should be alert to:

by Dr. Adele Kub 8 min read

Portal Hypertension Nursing Management - RNpedia

6 hours ago Nursing Management. Administer medications, which may include diuretics. Assist the health care provider with paracentesis, which removes the fluid (e.g. ascites) from the peritoneal cavity; the volume usually is limited to 2 to 3L of fluid, but it may be more. Observe the client closely … >> Go To The Portal


What does a client with newly diagnosed hypertension ask a nurse?

A client with newly diagnosed hypertension asks what she can do to decrease the risk for related cardiovascular problems. Which of the following risk factors is not modifiable by the client? 1. Dyslipidemia 2. Obesity 3. Age 4. Inactivity 3. Age A nurse is discussing with a group of nursing students how to accurately measure blood pressure.

How is hypertension diagnosed in a nursing home?

Initially, the nurse should record the blood pressure results in both arms and take subsequent measurements from the arm with the higher reading. Officially, hypertension is diagnosed when the patient demonstrates a systolic blood pressure greater than ______ mm Hg and a diastolic blood pressure greater than _____ mm Hg over a sustained period.

What kind of blood pressure should a nurse note for renal failure?

A client, newly admitted to the nursing unit, has a primary diagnosis of renal failure. When assessing the client, the nurse notes a blood pressure (BP) of 180/100. The nurse knows that this is what kind of hypertension?

When does the nurse become concerned about 168/98 blood pressure?

The nurse becomes concerned that a male patients blood pressure is 168/98 mm Hg after 6 months on antihypertensive medication. What question should the nurse ask after measuring this blood pressure?

How do you assess portal hypertension?

How is portal hypertension diagnosed?Lab tests. You may have various blood tests. A low platelet count is the most common sign of portal hypertension.Imaging tests. These give your provider pictures of the liver or blood flow in the liver. ... Endoscopic exam. This is done to see inside the upper digestive tract.

What are the clinical findings in a patient with portal hypertension?

The main symptoms and complications of portal hypertension include: Gastrointestinal bleeding: Black, tarry stools or blood in the stools; or vomiting of blood due to the spontaneous rupture and bleeding from varices. Ascites: An accumulation of fluid in the abdomen.

What complication is most likely to occur in portal hypertension?

Variceal hemorrhage is the most common complication associated with portal hypertension. Almost 90% of patients with cirrhosis develop varices, and approximately 30% of varices bleed. The estimated mortality rate for the first episode of variceal hemorrhage is 30-50%.

Which is the most common clinical manifestation of portal hypertension?

The portal vein is a major vein that leads to the liver. The most common cause of portal hypertension is cirrhosis (scarring) of the liver....Symptoms of ascites include:Early feeling of fullness.Increase in size of abdomen.Feeling out of breath (if the fluid begins pushing on your lungs)

Does portal hypertension cause high blood pressure?

Increased blood pressure in the portal vein can lead to varices in the esophagus or stomach. These enlarged veins may rupture, causing internal bleeding, bloody stools, or anemia. Other potential complications of portal hypertension include: jaundice, which causes yellowing of the skin and eyes.

What does portal hypertension lead to?

Portal hypertension can lead to a swollen abdomen ( ascites. Many disorders can cause ascites, but the most common is high blood pressure in the veins that bring blood... read more ), abdominal discomfort, confusion, and bleeding in the digestive tract.

How does portal hypertension affect the heart?

Results. Cirrhosis with portal hypertension is associated with increased heart rate, ejection fraction and mean peak systolic velocity, while mean arterial pressure is decreased. All cardiac chamber dilation occurs and is mostly seen in the left atrium.

Does furosemide lower blood pressure?

Furosemide increases the blood flow to the kidneys so the normal renin-angiotensin cycle is optimized and blood pressure is lowered. C. The nurse is caring for a patient who is receiving furosemide (Lasix) for treatment of hypertension.

Can a nurse read blood pressure?

A. The nurse obtains a blood pressure reading from a patient who is being treated with lifestyle modifications and drug therapy for stage 1 hypertension.