Answer :
Increased risk for esophageal varices development should the nurse be concerned about.
Blood pressure that is higher than normal is referred to as high blood pressure or hypertension.
When blood pressure readings are consistently above normal, high blood pressure (also known as hypertension) may be diagnosed.
Your risk for other health issues like heart disease, a heart attack, and a stroke increases with your blood pressure levels.
Your systolic and diastolic blood pressure readings will be compared to recommended levels so that your medical team can determine if you have high blood pressure and determine the best course of treatment for you.
It's possible that different medical professionals will use different standards to diagnose high blood pressure:
Some medical personnel identify patients with high blood pressure
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A nurse should be vigilant about complications such as oesophageal varies, ascites, hepatic encephalopathy, and splenomegaly in patients with portal hypertension. These arise due to impaired blood flow through the liver, leading to the formation of portal systemic anastomoses where blood bypasses necessary detoxification. Early detection and management of these complications are crucial for patient care.
A nurse caring for a patient with portal hypertension should be particularly concerned about the potential development of several serious complications. Due to the presence of scarring within the liver, cirrhosis leads to obstruction of the passage of blood through the liver, causing portal hypertension. This makes it difficult for blood from the intestines to return to the heart via the liver, leading to the formation of portal systemic anastomoses (shunts), where blood bypasses the liver and returns to the heart without undergoing detoxification.
Complications to Watch For:
- Oesophageal varicose: Dilated veins in the oesophagus which can rupture and cause life-threatening bleeding.
- Ascites: Accumulation of fluid in the abdominal cavity leading to discomfort and increased risk of infection.
- Hepatic encephalopathy: A decline in brain function due to the liver's impaired ability to detoxify harmful substances.
- Splenomegaly: Enlargement of the spleen which can cause a decrease in blood cells and increase the risk of bleeding and infections.
Monitoring for these complications is critical in managing patients with portal hypertension effectively.
