Orthostatic hypotension

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 medications, diarrhea and fluid restriction/loss. Orthostatic hypotension can also be caused by being supine for extended time, which requires the body to recalibrate autonomic function with position changing. Test to fix orthostasis so PT can move forward?…

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…

The obvious indication was her trip over the throw rug, which needs to be removed. Additional fall risks include: complaints of weakness and poor appetite, a low blood pressure, and the use of multiple medications. According to Sirkin & Rosner (2009), elderly patients that take several medications are at a higher risk for adverse effects, including falls (p. 403). As discussed above, Sallie Mae needs her medications reconciled and should also have orthostatic blood pressure monitoring;…

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…

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Another behavior that seemed concerning is that she only eats alone. Eating alone limits an individual to eat and limits the time a person can spend time with friends. If a person spends times with friend, they are more likely to be around a positive atmosphere rather than being alone. Having dry skin and cracked lips, struggling to focus, and hypotension are symptoms of Anorexia Nervosa. While talking to Maria, I noticed that her skin was dry and her lips were chapped. Having chapped lips,…

Vasovagal Syncope, Adult Syncope, which is commonly known as fainting or passing out, is a temporary loss of consciousness. It occurs when the blood flow to the brain is reduced. Vasovagal syncope, which is also called neurocardiogenic syncope, is a fainting spell that happens when blood flow to the brain is reduced because of a sudden drop in heart rate and blood pressure. Vasovagal syncope is usually harmless. However, you can get injured if you fall during a fainting spell. CAUSES This…

RESULTS AND DISCUSSION The drug release study of Propranolol from the synthesized prodrugs9a and 9c proved that they hydrolyze significantly at pH 6.8 & 7.4. This proves the stability of prodrug at gastric pH and easily gets hydrolyzed at both blood and intestinal pH, and would be available for the action by significantly eliminating the problem of fast metabolism and local irritation when compared to the parent drug. The % CDR of 9c at pH 7.4 was found to be maximum i.e. 92% within 3 hrs and…

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