Orthostatic Hypotension

Words: 1388

Pages: 6

Open Document

1. Mrs. Jones was fainted due to the sudden fall of blood pressure. This condition is known as orthostatic hypotension, which is often find in patients who had prolonged bed rest after a surgery or any other procedures. When patient gets up after a prolonged bed rest, sudden blood pressure drop leads to fainting. In the above clinical scenario, patient had a systolic blood pressure drop of more than 20 mmHG and a diastolic blood pressure drop of 5 mmHg, clearly indicated the occurrence of orthostatic hypotension. Many hip surgery patients demonstrate orthostatic hypotension and in Mrs Jones case, the staph infection further delayed the mobilization and gait training, which further increased the risk of orthostatic hypotension. Jans, …show more content…
2. This type of fainting is known as orthostatic hypotension and this is a cardiac type.
Patient had no other significant medical history that can contribute to the sudden fainting. When physical therapist made the patient stand, there was a sudden positional change happened after a prolonged bed rest, from supine to erect position. This position change resulted in sudden blood pressure drop leading patient to faint. This could have been avoided if the patient was given more time to adjust to the position change by allowing patient to sit for few minutes before slowly make her standup so that sudden blood pressure fluctuation could have been avoided.
3. Asthma patients must be advised to hydrate all the time. Whenever there is an exacerbation of asthma, there will be plenty of mucus production in the airways of the patient which will lead to further narrowing of airways. Proper hydration will prevent mucus to form plugs in the airways which will help to stop further narrowing of the

Hypotension Research Paper

Hypotension is the medical term for low blood pressure (less than 90/60). A blood pressure reading appears as two numbers. The first and higher of the two is a measure of systolic pressure, or the pressure in the arteries when the heart beats and fills them with blood. The second number measures diastolic pressure, or the pressure in the arteries when the heart rests between beats. Optimal blood pressure is less than 120/80 (systolic/diastolic). In healthy people, low blood pressure without…

Words 373 - Pages 2

Total Knee Replacement Essay

| Minimizing adverse effects:Continue to monitor vital signs. Take blood pressure lying, sitting, and standing to detect orthostatic hypotension. Be cautious with the elderly whe are at increased risk for hypotension. (CCBs cause vasodilation, resulting in lowered blood pressure. Orthostatic hypotension may increase the risk of falls and injury.) | Instruct the patient on the need to return periodically for lab work or ECGs.Advise the patient to carry a wallet…

Words 1422 - Pages 6

Essay on Cardiac Medications (Nurs 5)

coagulability. Contraindicated with active bleeding (except DIC), bleeding disorders, ulcers, liver and kidney disease, and hemorrhagic brain injuries. Side effects: Hemorrhage, hematuria, epistaxis, ecchymoses, bleeding gums, thrombocytopenia, and hypotension. Heparin: prevent thrombin from converting to fibrinogen to fibrin. (Prevents new thrombus formation.) Blood levels (aPTT): NORMAL: apt is 20 – 36 seconds. THERAPUETIC: 1.5 – 2.5 x that. aPTT 80 seconds; lower dose aPTT 60 seconds; increased…

Words 889 - Pages 4

A Note On Drugs

Limbic actv -↓CNS sedation, allergc -non-sedating *anxiety *sedation *seizure control *adjuvant:depress *alcohol withdrwl *sedatives *alcohol=FATAL *↓CNS activities *hypotension *drowsiness *N/V FLUMAZENIL -txt benzo overdose *assess: -phx and emo state -baseline VS –posturalBP -LOC -position slowly-postural hypotension and injury -drug+psycho tx= effctiv -alcohol=FATAL -therapeutic effect: Mental alertness SEDATIVES and HYPNOTICS -CNS depressants *SEDATIVE-HYPNOTICS- DOSE DEPENDENT -↓dose=…

Words 1153 - Pages 5

Tricyclic Antidepressants Research Paper

Tricyclic antidepressants were the first antidepressants and were introduced to the psychiatric community towards the end of the 1950s. They are also the first choice of drug prescribed for people with major depression. Since their introduction their track record for helping relieve and treat the symptoms of depression is well established. Tricyclic antidepressants work by blocking the reuptake of two monoamine transmitters, norepinephrine and serotonin, by neurons. The effects of these transmitters…

Words 551 - Pages 3

NVCC Pharm Midterm Study Guide Summer 2015 Essay

and addiction What is ezetimibe for and what should the patient know about therapy? What is the placebo effect? What is tamsulosin for and what is the major expected side effect to anticipate. When a patient has a possible side effect of orthostatic hypotension, what is the safe thing to advise them? emergency drug used for anaphylaxis what is Pyridostigmine and what is expected when you give it to a myasthenic gravis patient What is tacrine given for? why give atropine as a pre op drug- what is…

Words 525 - Pages 3

Unit 9 Assignment 1

Unit 9 assignment 1 An assessment and explanation of how the coordination and normal functioning of the respiratory and cardiovascular systems can be impaired by two specific neurological diseases. Two neurological diseases that can affect the respiratory and cardiovascular system are, multiple sclerosis (MS) and also amyotrophic lateral sclerosis (ALS). Below I will go into detail about how these diseases affect the body. In ALS the deterioration of motor neurons ultimately leads to muscle weakness…

Words 568 - Pages 3

Essay on Life

some research has been done on this already, and should be able to find published papers in a literature search. An emerging area of research is Dysautonomia, which often strikes in puberty - this includes Orthostatic Intolerance (yellow wiggle disease), POTS, Neurally mediated hypotension, Neurocardiogenic syncope, chronic fatigue syndrome to name a few. This is mostly cardiology, neurology and rheumatology based. Fewer published papers exist on this though. 2) Start by performing a literature…

Words 575 - Pages 3

Body Irgans Essay

Renal System The renal system contains two kidneys with emerging tubes which are called the ureters running down the posterior abdominal wall to a lone pelvic collecting organ, this is the bladder. The channel from the bladder to the exterior is via the urethra, and the movement of urine is controlled by a sphincter muscle which is positioned just below the bladder. The kidneys are provided by short renal arteries coming off the main artery of the body, the aorta. Renal veins take the blood from…

Words 615 - Pages 3

SAFE Balance Clinic Case Study

In February, I had the opportunity to volunteer as a student nurse at one of Fresno State’s SAFE Balance screening sessions. Fresno State’s SAFE Balance clinic provides services for the elderly population of senior citizens sixty-five years and older with the mission of decreasing the elderly populations risk for falls by raising awareness of the many factors that could contribute to falls. The SAFE Balance Clinic is strictly run by students and instructors as a multi-disciplinary approach in order…

Words 635 - Pages 3