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MACROVASCULAR COMPLICATIONS (Health Education (Treat peripheral vascular…

- - - - Inadequate blood pumped by the heart to meet metabolic demands of the body.
    - - Normal Bp ranges within 12 hours
    - - Check laboratory data (cardiac markers, complete blood cell count, electrolytes, ABGs, blood urea nitrogen and creatinine, cardiac enzymes, and cultures, such as blood, wound or secretions)
      - Monitor and record BP. Measure in both arms and thighs three times, 3–5 min apart while patient is at rest, then sitting, then standing for initial evaluation. Use correct cuff size and accurate technique.
      - Note presence, quality of central and peripheral pulses.
      - Observe skin color, moisture, temperature, and capillary refill time.
    - - Maintain BP within individually acceptable range
  - - - Assess patient understanding of direct relationship between hypertension and diabetes
      - Discuss necessity for decreased caloric intake and limited intake of fats, salt, and sugar as indicated
    - - Assess patients level of understanding
    - - Intake of nutrients that exceeds metabolic needs
    - - Identify correlation between hypertension and obesity.
  - - - Coping, ineffective
    - - Determine individual stressors (family, social, work environment, life changes, or healthcare management).
      - Note reports of sleep disturbances, increasing fatigue, impaired concentration, irritability, decreased tolerance of headache, inability to cope or problem-solve.
      - Assess effectiveness of coping strategies by observing behaviors (ability to verbalize feelings and concerns, willingness to participate in the treatment plan).
    - - Identify ineffective coping behaviors and consequences.
    - - Assess patients willingness