Dr. Silva, As a health care provider, and knowing that the most common side effects with hypertensive medication are dizziness, orthostatic hypotension, light-headedness, feeling tired, weak and/ or drowsy, I would have to educate the patient and family to help prevent falls. What I would suggest to the patient is that he or she gets up slowly especially after being in a recumbent position. I would also tell them not to have any quick movements of the head that may precipitate dizziness. Furthermore, I would demonstrate to them how to properly sit at the side of the bed prior to getting up. These measures should help with orthostatic hypertension. If possible, the APN can prescribe the hypertension medication at bedtime
Dr. Silva, As a health care provider, and knowing that the most common side effects with hypertensive medication are dizziness, orthostatic hypotension, light-headedness, feeling tired, weak and/ or drowsy, I would have to educate the patient and family to help prevent falls. What I would suggest to the patient is that he or she gets up slowly especially after being in a recumbent position. I would also tell them not to have any quick movements of the head that may precipitate dizziness. Furthermore, I would demonstrate to them how to properly sit at the side of the bed prior to getting up. These measures should help with orthostatic hypertension. If possible, the APN can prescribe the hypertension medication at bedtime