Vascular calcification is the hardening of blood vessels that can occur due to multiple reasons including endocrine dysfunctions, diet, and mineral metabolism dysfunctions. In addition, vascular calcification can be linked to certain diseases such as arthrosclerotic ishemia, damaged brain circulation, and decreased coronary perfusion. Intradialytic hypotension is low blood pressure often due to hemodialysis. Some of the risk factors of acquiring intradialytic hypotension includes diabetes, age, and long lengths of hemodialysis. The point of this study is to see whether vascular calcification and intradialytic hypotension are correlated, and what the effect has on the patients clinically. The hypothesis was that vascular calcification is independently…
The nurse will also be assessing for signs and symptoms of orthostatic hypotension during each position change such as lightheadedness, dizziness, weakness, and syncope (Mager, 2012). The steps of assessing orthostatic hypotension includes having the patient change positions at different times and taking the blood pressure at different times. The patient should begin in a supine position for at least five minutes. The patient should not cross their legs or feet and should remain still for the…
Hypotension is the most significant risk associated with the use of anti-hypertensive medica-tions. ACE inhibitors for example, and with combination of other anti-hypertensive drugs may result in reduction in preload and afterload. These drugs increase vasodilatory effects causing reduction in blood pressure. Risk factors include diabetes, more than 70 years of age and co-administration with other agents that affect the renin angiotensin aldosterone system (RAAS) such as ACE inhibitors and beta…
Hypertension is defined as systolic blood pressure of 140 mm Hg or above, or diastolic blood pressure of 90 mm Hg or above, or currently taking medication to lower blood pressure (Burt, Gu & Nwankwo, 2014). Hypertension is a chronic medical condition that affects an estimated 67 million American adults and causing about 348,000 American deaths (in 2009) with a total cost to the nation of $47.5 billion annually (Centers for Disease Control and Prevention, 2014). African Americans develop…
Offender seen today in chronic care followup of hypertension, chronic renal insufficiency, and hypothyroidism. Patient is currently in CIP. I reviewed her chart and noted that her renal function was normal in 12/2016. At the time, her blood pressure was good at 106/71. At her visit in 12/2016, it was felt that she was overly controlled and was having episodes of possible orthostatic hypotension with lightheadedness. She was on Norvasc, atenolol 50 mg once daily, hydrochlorothiazide, and…
Orthostatic Hypotension has several key factors that help contribute to the cause of this condition. This condition usually occurs when something disrupts the body's normal course of counteracting low blood pressure. This condition is common in people over the age of 65. Dehydration causes orthostatic hypotension by your body losing blood volume. Some heart conditions such as bradycardia, heart valve problems, heart attack, and heart failure can cause this condition by preventing the body from…
(Malamed, 37) Patient is more than likely experiencing secondary hypertension due to underlying factors that could have caused the disease. (Malamed, 39) Patient falls under the Stage I hypertension and is currently being prescribed a loop diuretic called Furosemide (Lasix) that can cause xerostomia, lichenoid (rash), and orthostatic hypotension. (Little, 42,44) Patient should be reclined slowly from their position and monitored to avoid orthostatic hypotension. Immediate changes in…
Fall is one of the common problems in the hospital. It can be due to various reasons such as accident, related to medical condition such as vasovagal, dizziness related to postural hypotension or physical condition such as leg amputation, swollen or sore feet or negligence of the patient or carer including nurses. However, whatever is the cause of fall it can be reduced or prevented by appropriate assessment and interventions. In relation with the situation I experienced the incident can be…
hypotension is considered a life threatening condition that can lead to shock (2). Prevention of spousal abuse takes second priority so future harm could be prevented. Lowest priority is for therapeutic self-care demand to enhance self image of K.H. Although self-image is important, low priority is what is related to self-image–related therapeutic self-care demands. Regulatory and Control Operations The supportive-educative nursing system design was performed to get K.H back in control of…
Our patient had orthostatic hypotension, likely due to fluid and electrolyte imbalance and not autonomic dysfunction due to its acute presentation. Although, autonomic dysfunction related orthostatic hypotension could be due to his diabetes, anemia, small Left Cerebellar Infarct, HTN, or diuretic, betablockers, antihypertensive medications. Fluid and electrolyte imbalance can cause anemia and hyponatremia, and can be caused by adrenal insufficiency, diuretics, beta blockers, antihypertensive…