Essay On Orthostatic Hypotension
Questions:
Provide a brief explanation of what orthostatic hypotension is, and identify the vital signs and their values that define orthostatic (postural) hypotension.
Orthostatic hypotension occurs when an individual moves from a supine to a sitting or standing position. In an episode of OH, blood is pulled to the lower extremities by gravity. This pooling of blood stimulates the baroreceptors, sending a message to the vasomotor center of the brain and causing sympathetic nervous system activation. This results in an increased heart rate, which in turn increases the blood pressure and improves circulation back to the upper body . When this mechanism fails to work and perfusion is not rapidly returned to the brain, the individual may experience dizziness, blurred vision, syncope, and falls. OH prevalence increases With age and is usually co-morbid with other disorders, including neurological (e.g., cognitive performance), endocrine
…show more content…
Does Mr. O’Brien exhibit signs of orthostatic vital signs? Explain.
As a nurse you would first get a set of vital signs from Mr. O’Brien in the supine position and record them. Second the nurse would wait a few minutes and then get a set of vital signs from Mr. O’Brien as he is sitting up and record them. Finally, the nurse would get a set of vital signs from Mr. O’Brien as he is standing a few minutes after the second set and record these vital signs. Mr. O’Brien’s vital signs dropped a little bit from his first to second but only a little bit. There was a big drop in his last vital signs which were great enough to fall into the definition of Orthostatic Hypotension as stated, Orthostatic hypotension is defined as a decrease in systolic blood pressure of 20 mm Hg or a decrease in diastolic blood pressure of 10 mm Hg within three minutes of standing compared with blood pressure from the sitting or supine position. (Schimke, L., & Schimke, J.,
Ronald Bates Case Study
1748 Words | 7 PagesAssessment 2 Short Essay Question -01 Discuss Mr. Ronald bates systemic assessment and priorities of management Mr. Ronald bates presented to the emergency department with shortness of breath (Respiratory rate- 24 breaths/min) and general discomfort (pain score- 4/10) and it was started in the morning and worsens when doing activities. The above presenting complaints lead to a possible cardiac event, so that this presentation would be triaged as category 2. Therefore, medical officer would be notified regrading patient presentation and put Mr. bates to semi fowler’s position in the Emergency bed if this position is comfortable for him. Further primary systemic assessment of the patient starts with an order with an assessment of
Jimmie Bowman Case Study
362 Words | 2 PagesHe is in no acute distress. Blood pressure 120/78. Pulse 70 and regular. Weight 177 pounds. Height 5 '6".
The Prosecution And Conviction Of Bridget Bishop
1014 Words | 5 PagesThere are more plausible solutions such as a lack of medical knowledge, convulsive
Patient's Case Study: Syncope
2129 Words | 9 PagesOrthostatic hypotension has many etiologies but the baseline is that it is generally caused by a dysautonomic syndrome, drugs, volume depletion or a combination of a variety of factors. Peripheral autonomic (sympathetic) denervation, resulting from systemic diseases can prevent needed peripheral vasoconstriction with standing, diseases such as diabetes and amyloidosis. Other diseases are Parkinsonism , and Addison’s, porphyria, tabes dorsalis, syringomyelia, spinal cord transection , Guillian–Barré syndrome, Riley–Day syndrome, surgically induced sympathectomy, pheochromocytoma, multisystem atrophy, Bradbury–Eggleston syndrome, and the Shy–Drager syndrome (which is also known as idiopathic orthostatic hypotension). There is a variety of medications that can cause syncope by causing orthostatic hypotension and other mechanisms also leading to syncope. These are vasodilators (such as hydralazine, nitrates, angiotensin-converting enzyme inhibitors), adrenergic blockers and adrenergic stimulants, diuretics, tricyclic antidepressants, phenothiazines, and others, can cause orthostatic
Patients Shooting Research Paper
404 Words | 2 PagesFalls of critically ill patients admitted to the ICU routine should be avoided developing certain strategies used outside this area, such as prevention of displacement, promote stability, elimination of sliding hazards routinely ensure that the patient is oriented to the environment and the bell is at the fingertips, keeping the beds in the lowest position and braking, providing adequate lighting, and provide anti-slip footwear and technical assistance in lifting patients bed. The response time of the call prolonged ringing patient or family is just one of the potential causes of falls, firstly because if the response time is greater serve their needs later, and partly because no response to the patient may start feeling agitated. Shift schedules nurses can be particularly effective in preventing falls, as they allow the staff to anticipate and address the needs of each patient. The tubing, drains and cables must be securely to prevent tripping when lifting or embody patients. Although falls can happen without warning, subsequent falls can be avoided if the etiology of them is
We Listen To The Radiolab Summary
507 Words | 3 PagesThey said that every time the person who lost control on their body need to be visually focused on every move; otherwise, they would fall. However, I believe that a body lose control should has a reason. According to the article, “Eight Reasons Your Brain May Not Be Functioning Like It Used To (And How to Improve Your Brain Health)”, there are nine reasons that body lost connect with brain: over drugs, depression, thyroid problems, vitamin B12 deficiency, candida and poor digestive health, the affect of digestive health, toxins, poor nutrition, and lack of sleep. In other words, the human body and brain function will decrease over time, and it has many reasons. Also, they are many reason that people still cannot explain.
Autonomic Nervous System Case Study
1462 Words | 6 PagesIntroduction This document illustrates answers to questions posted as a case study where a patient suffers from two arrow wounds. One running anteriorly between the 7th and 8th ribs at a 15-degree angle through the head protruding posteriorly, and another in the posterior cervical triangle. Solution to Question 1a.
Case Study Cardiogenic Shock
1075 Words | 5 PagesThe low amount of blood delivered to the kidneys causes inadequate renal perfusion. When this happens, renin is released to secrete aldosterone, a vasoconstrictor that promotes sodium and fluid retention. Aldosterone increases the preload to increase the systolic volume (Moreau, 2006). However, this is counterproductive in the long run because an increase in the preload will wear out the heart by working double time as well as increasing lung congestion. The heart failure causes multiple organ failure in chronic conditions such as altered digestion, decreased brain perfusion
Overview: Into Thin Air By Jon Krakauer
1190 Words | 5 PagesCapillaries in our retinas were spontaneously hemorrhaging. Even at rest, our hearts beat at a furious rate.” (Krakauer 200) The physical limits presented to reader are beyond belief, yet the mental challenges faced by Krakauer and others is almost beyond comprehension. Hypoxia, a lack of oxygen, often leads to confusion and as a result deadly decisions.
Essay On Cardiogenic Shock
642 Words | 3 PagesShock Definition Shock is a medical emergency in which the organs and tissues of the body are not receiving an adequate flow of blood. This deprives the organs and tissues of oxygen (carried in the blood) and allows the buildup of waste products. Shock can result in serious damage or even death.
Examples Of Delegation In Nursing
382 Words | 2 PagesRN can ask the CNA to take the patient’s vital signs and document, but cannot ask to assess the patient for her high blood pressure. Communication is another important point of delegation. If the CNA notice that patient’s blood pressure is high and fail to communicate to the RN, the result could be detrimental for the patient. Another example is that RN told the CNA to check a patient’s blood pressure but did not explain why or when she should check the blood pressure. The RN need to give 9 AM blood pressure medicine and waiting for the CNA to let her know the blood pressure.
Informative Speech On Sleep Paralysis
1001 Words | 5 PagesI. Imagine this: You come home from a long day of work, you go to lay down in your dark and serene room. You begin to fall asleep and you start to hear a faint knocking. The knocking then becomes more potent and suddenly violent. You try to jump up and check what it is, but you realize you can’t move a muscle and you can’t even lift a finger. You are paralyzed.
Ethical Issues In Nursing: Nurse-Patient Ratios
1026 Words | 5 PagesWhen identifying areas which are affected, the problem spans from lack of assistance with activities of daily living, to major medical errors. One study focused on improved resuscitation rates related to appropriate nurse to patient ratios. Those involved in the study site the American Heart Association’s “chain of survival” to directly correlate their evidence. “Better Nurse Staffing and Nurse Work Environments Associated with Increased Survival of In-Hospital Cardiac Arrest Patients” argues that nurses with an appropriate patient load are able to make contact with their patients more frequently, and for longer periods of time, giving those with a potential for cardiac arrest a more “timely response” to their cardiac event. Since “timely response” is the initial phase in the “chain of survival”, the subsequent steps are more likely to yield favorable outcomes.
Cardiovascular Response Essay
1583 Words | 7 PagesCardiovascular Response to Exercise Introduction The cardiovascular system, comprising of blood vessels, the heart, and blood, responds predictably with regards to the increased exercise demands (Centers for Disease Control and Prevention 62). In a sense, a series of cardiovascular changes take place in response to physical exercise for providing enough blood supply to the constricting muscles, to dissipate the energy produced by active muscles, and to maintain the supply of blood to vital organs of the body such as the brain and the heart (Agarwal et al. CC06).
Reflective Essay On Blood Pressure
1479 Words | 6 PagesIntroduction This essay will reflect on my personal experience, skills, and knowledge gained from my studies and practice of undertaking blood pressure (Bp) whilst completing my professional placement. Bp may be defined as a force of blood against vessel walls in the body, consisting of systolic and diastolic pressure measured in millimeters of mercury. (Waugh and Grant, 2016) Systolic pressure occurs when the hearts left ventricle contracts and forces blood into the aorta causing a heightened atrial pressure, while diastolic pressure refers to complete cardiac diastole, this is when the aortic valve closes and pressure is at its lowest between beats, blood moves into smaller corresponding vessels and the heart rests.
More about Essay On Orthostatic Hypotension
Ronald Bates Case Study
1748 Words | 7 PagesJimmie Bowman Case Study
362 Words | 2 PagesThe Prosecution And Conviction Of Bridget Bishop
1014 Words | 5 PagesPatient's Case Study: Syncope
2129 Words | 9 PagesPatients Shooting Research Paper
404 Words | 2 PagesWe Listen To The Radiolab Summary
507 Words | 3 PagesAutonomic Nervous System Case Study
1462 Words | 6 PagesCase Study Cardiogenic Shock
1075 Words | 5 PagesOverview: Into Thin Air By Jon Krakauer
1190 Words | 5 PagesEssay On Cardiogenic Shock
642 Words | 3 PagesExamples Of Delegation In Nursing
382 Words | 2 PagesInformative Speech On Sleep Paralysis
1001 Words | 5 PagesEthical Issues In Nursing: Nurse-Patient Ratios
1026 Words | 5 PagesCardiovascular Response Essay
1583 Words | 7 PagesReflective Essay On Blood Pressure
1479 Words | 6 Pages