Orthostatic hypotension

Compare the pathophysiology, manifestations, and treatments of common menstrual cycle disorders. Endometriosis is defined as endometrial tissue implantation outside the uterine cavity. Manifestations include: painful menses, pelvic pain and cramping before and during menstruation, lower back, and abdominal pain. Patients may experience pain during or after sex, pain with bowel movements or urination, excessive bleeding, occasional bleeding between periods, and infertility. Patients may also…

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…

and Chanco Turner, 2006). Although the adrenal glands are part of the endocrine system, they also works alongside the nervous system to protect the body. A physiological change that Addison's disease can have on the nervous system is orthostatic hypotension…

Monitor BP for orthostatic changes. Evaluate skin turgor, capillary refill, and general condition of mucous membranes. Changes may reflect effects of hypovolemia due to bleeding. Febrile states decrease body fluids by perspiration and increased respiration. Suppression of bone marrow and platelet production places patient at risk for spontaneous or uncontrolled bleeding this can lead to deficient fluid volume. A common manifestation of fluid loss is orthostatic hypotension. It is…

Parkinson’s disease is defined as a, “progressive disorder of the nervous system that affects movement” (Huether & McCance, 2012). Parkinson’s can be further divided among two categories, which include primary and secondary. Primary Parkinson’s is more common among men and usually is seen to begin after 40 years of age with an increasing risk after 60 years of age. The cause of primary Parkinson’s is still unknown, but several genes have been identified as contributing factors in addition to…

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 lisinopril. Due to concerns about hypotension and pedal edema, her Norvasc was discontinued. At her followup visit in 01/2017, her leg edema appeared to have improved. However, around that time, she was started…

The Drug Utilization Review (DUR) is a component of the patient’s electronic health record that provides several benefits to clinicians related to medications. In many healthcare systems, DUR’s are embedded throughout the facilities IT infrastructure and many times may often provide a higher degree of patient safety related to medication delivery and administration without the clinician having to actively or consciously seek out these benefits. DUR’s are essential and are especially beneficial…

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…

Parkinson’s disease (PD) was first described by James Parkinson in his classic 1817 monograph “Essay on the Shaking Palsy”. PD is the second most prevalent neurodegenerative disorder after Alzheimer’s disease (AD). PD affects around 0.3% of population in industrialized countries and approximately 1% of the population above the age of 60 (de Rijk et al., 2000; Rajput, 1992). The mean age of onset of PD is 55. PD is mainly characterized clinically by resting tremor, rigidity and bradykinesia.…