Hypotension

accumulation. Cerebral ischemia, intracranial hypertension, hypoxemia, hypotension, hypercapnia or hypocapnia, hyperglycemia or hypoglycemia are all of the factors that increase the severity of the secondary insult to the brain (Dinsmore, 2013). Preventing and minimizing the effect of these secondary insults, especially hypoxemia and hypotension, is the cornerstone of TBI management. A single episode of intraoperative hypotension in the TBI patient has a three-fold increase in morbidity and…

After reviewing Mr. Johnson’s medical history and medication list the best prescription for his diagnosis would be for Tamsulosin. According to the history, Mr. Johnson has orthostatic hypotension. With this in mind, Tamsulosin will work best for Mr. Johnson because it does not have an effect on vascular smooth muscle and will not further drop his blood pressure. Mr. Johnson may not respond to 5-alpha reductase inhibitors, Dutasreride and Finasteride, because he only has a mild enlargement of…

cardiopulmonary bypass (CPB)(1). CPB is often associated with a systemic inflammatory response and transient vascular dysfunction that results in profound and persistent vasodilation, leading to a decrease in systemic vascular resistance that grounds severe hypotension refractory to proper fluid resuscitation, and an increased requirement for vasopressors despite of high or normal cardiac outputs (2). Although the exact mechanisms that lead to the development of VS are unknown, it is thought…

A rise in blood pressure with a MAP of above 65mmHg indicates that Shirley’s organs are receiving adequate perfusion and that vasodilation and hypotension due to cell mediation and decreased fluid volume is no longer occurring. Her urine output has increased from 35ml an hour to 50ml an hour due to reperfusion of her kidneys. Administration of intravenous fluids assisted to rehydrate tissues and expand…

Syncope is also referred to as transient loss of consciousness (Grimes, 2014)." Syncope is considered the most common medical emergency in dental offices around the world (Grimes, 2014). It can most likely occur when blood pressure is too low (hypotension) and the heart is not pumping enough oxygen to the brain. It can be benign or a symptom of an underlying medical condition (American Heart Association, 2017). Syncope can be caused due to conditions that have several causes, ranging from benign…

antihypertensive and diuretic. Lasix is commonly used for the treatment of hypertension and management of edema associated with heart failure. Lasix does not have any off-label uses. The major side effects or adverse reactions are acute hypotension, orthostatic hypotension, vertigo, and hyperglycemia. Contraindications include hypersensitivity to furosemide or any other component of the drug formulation. Interactions with other drugs involve ACE inhibitors, analgesics, antidiabetics,…

Clinical reasoning is embedded in the way of nurses’ thinking for patient care (Levett-Jones 2013). It is a spiral continuous mental process underpinned by critical thinking and a sound body of nursing knowledge to make clinical judgement (Levett-Jones 2013). Eight elements: consider patient’s situation, collect cues, process information, identify problems, establish goals, take action, evaluate outcomes and reflect on process are involved in the clinical reasoning cycle (Levett-Jones 2013).…

An example of the limitation is deep brain stimulation for patients with Parkinson’s resulting a lack of controlled data, mismatch evidence, insufficient medication effect in the clinical practice. Another instance of the limitation in the EBM are the patients with non-motor symptoms of PD. Some areas such as constipation, anxiety, fatigue, insomnia, sexual dysfunction urinary incontinence have not been thoroughly discussed in the research for symptoms of PD patients which can be considered as…

Anaphylactic disorder is one of the end result of immediate (Type I) hypersensitivity reaction. It starts when antigen (bee sting as in the patient’s case) binds to IgE antibody on the surface of mast cells that result of systemic release of vasoactive amines and other mediators from mast cells. The presence of IgE antibody indicate that this is not the first exposure to this antigen. The mast cells have a specific receptor for the Fc portion of IgE called FceRI (a high-affinity receptor). When…

During my dialysis experience I found it to be very informative and interesting. We were not allowed to touch the patients or help with any care but the staff was interactive and explained was they were doing. The staff also was able to provided scenarios of different complications that happened and how they 'd respond. By the end of the first day I was able to see what the caregiver would due if a patient had muscle cramps, was short of breath and had chest pain. The first day I mostly…