Orthostatic hypotension

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…

In the article “Impact of pharmacist care in the management of cardiovascular disease risk factors: A systematic review and meta-analysis of randomized trials,” Santschi, Chiolero, Burnand, Colosimo, and Paradis introduced the article stating that “cardiovascular disease is the leading cause of mortality and morbidity in adults worldwide and it accounts for approximately one-third of mortality in Canada and in the United States” (p. 1441). In the article “Improving Blood Pressure Control Through…

Question Three Descriptive data The following is a discussion of the descriptive data for the variables systolic blood pressure , diastiloc blood pressure, gender and nationtonal insitute of health hypertension category used to decribe the sample. Within this sample of 50 particpants, the average systolic blood pressure obtained was 135.88. This average takes into consideration all scores obtained within this sample population (Loiselle et al., 2011). If the scores were rearrange from the…

Interview with an Older Adult The purpose of this paper is to use assessment tools such as a social history, nutrition screening, Katz Index of Independence in Activities of Daily Living, Mini-Mental Status Exam, and Fall Prevention Scale. Using these tools can help determine areas for concern and areas that are adequate. After using these tools, a better idea of the patient’s health as a whole can be determined. Assessment Tools Social History The person I chose to interview is a 76 year old…

Treatment for High Blood Pressure This week assignment I have chosen to look up health information on treatment of high blood pressure. . High blood pressure is also known as hypertension. Blood pressure is the amount of force exerted against the walls of the arteries as blood flows through them. I used an article on medical news today (http://www.medicalnewstoday.com/articles/159283.php) written by Christian Nordqvist; Reviewed by Carissa Stephens (RN, CCRN, CPN).The article was last updated…

To get their blood pressure down some young people have to use medication to regulate and deal with their elevated blood pressure levels. When talking about high blood pressure in young people you might think, how can young people without as much responsibility as adults have such a life changing and life threatening condition. Taking medication for high blood pressure for youths can be difficult. If parents are too busy working, children might forget, or miss use their medications. When the…

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…

Patient on med to treat anxiety 1 mg, Q4hrs, PRN/ IV. Side effects: dizziness, drowsiness, orthostatic hypotension, visual disturbances, weakness, disorientation. Nursing considerations: do not stop drug abruptly, avoid alcohol, cns depressants. IM onset 15-30min peak 60-90min. Ondansetron HCL: antiemetic, 4mg Q6hrs PRN IV. Patient is on this in order…

The abnormal neuronal noradrenaline reuptake in TCAs could increase the sympathetic activation of the heart (153). It can increase the heart rate and cause orthostatic hypotension (160). The TCA induced orthostatic hypotension can be further aggravated on MI patients who are taking beta blockers and angiotensin converting enzyme inhibitors (161). They may also alter the conduction system and be more vulnerable to ventricular arrhythmia (162)…

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…