pathophysiology as follows: Neurally-mediated reflex syncopal syndrome referring to a reflex that‚ when triggered‚ gives rise to vasodilation and bradykardia (1) Orthostatic syncope occurring when the autonomic nervous system is incapacitated resulting in a failure of vasoconstrictor mechanisms and thereby in orthostatic hypotension (1) Cardiac arrhythmias causing a decrease in cardiac output (1) Structural heart disease causing syncope when circulatory demands outweigh the impaired
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necessary (Woolcott et al.‚ 2009). There are several reasons why people fall. Fall risk is multifactoral in nature‚ with risk factors being intrinsic and extrinsic (Graafmans et al.‚ 1996). The most common reasons are uncontrolled hypertension‚ orthostatic hypotension‚ and use or inappropriate use of certain medications (Gangavati et al.‚ 2011); Woolcott et
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output‚ Renin= constricts ACE= dilates -ADH: reabsorbs H2O Fluid Imbalances: dehydration/fluid overload -specific gravity: >1.030 urine is concentrated -daily weights -I/O HYPOVOLEMIA Dehydration S/S: -thirst -rapid‚ weak pulse -low BP‚ orthostatic hypotension -dry skin/mucous membranes -skin tenting: adult-chest‚ infant-belly button -decreased urine output -increased temperature -MAP= 65-70 -fatigue‚ lethargy‚ restlessness -cracked tongue‚ sunken eyes Causes of fluid deficit: -insensible loss
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Pheochromocytoma‚ a rare condition caused by a tumor in the adrenal medulla affecting the chromaffin cells‚ results in an excess production of catecholamines (epinephrine and norepinephrine) and metanephrines. The most immediate effect of this condition is severe hypertension‚ but other symptoms (such as headache‚ palpitations and excessive generalized sweating) can also appear. If left untreated‚ pheochromocytoma may lead to hypertensive encephalopathy‚ cardiomyopathy‚ diabetes mellitus and even
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SUBJECTIVE He presents for evaluation of episodes of feeling like he is going to pass out. He had his first episode last April or May when he was working in the kitchen loading the dishwasher. He describes it as a feeling that his "whole body got tingly. He initially wondered if it was related to the fact that he had been sleeping during the day and only eating one meal every 24 hours. More recently‚ however‚ he has been having more frequent episodes. The most recent one was in the evening of
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Agitation and anxiety • Decrease in the output of urine • Confusion • Feeling of weakness in general • Paleness in skin • Rapidness in breathing • Moist skin and increased sweating • Falling unconscious Hypovolemic shock can result in orthostatic hypotension‚ which means there can be lowered blood pressure. The person feels dizzy and might even lose consciousness. Hypovolemia can hinder the amount of blood that the heart pumps to the organs. This indicates that there are many signs related to
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“excessive intake of hypotonic solution‚ such as water” (Treas & Wilkinson‚ 2014‚ p. 1391). As the RN‚ I would check for pitting edema because the patient has excessive fluid in her system; Have vital signs taken every four hours to see if the orthostatic hypotension is getting worse or better; measure input and output. Because one of the signs and symptoms of hyponatremia are seizures‚ I would monitor the patient carefully for them. Even though the patient does not have a history of
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renal failure‚ hepatic coma‚ pregnancy‚ lactation.Use cautiously with SLE- Systemic Lupus Erythmatous‚ gout‚ diabetes mellitus | CNS: dizziness‚ vertigo‚ paresthesias‚ weakness‚ headache‚ drowsiness‚ fatigue‚ blurred vision. Hearing lossCV: orthostatic hypotension‚ thrombophlebitisDermatologic: photosensitivity‚ rash‚ urticariaGI: nausea‚ anorexia‚ vomiting‚ oral and gastric irritation‚ constipation.GU: urinary bladder spasm‚ polyuria‚ glycosuriaHematologic: Leukopenia‚ anemia‚ thrombocytopeniaOther:
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Compression therapy is a reliable method of treatment used for a variety of venous disorders and diseases‚ including varicose veins‚ deep vein thrombosis‚ and edema. As these maladies almost always occur in the lower body‚ compression stockings are the most effective and most prescribed treatment. While it is not known precisely how compression therapy works so well‚ it evidently prevents the blood from pooling and/or clotting‚ which helps the blood to flow more quickly back to the heart. Additionally
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Serena Proeung English 111 Professor Holder Blood Pressure Have you had your blood pressure taken recently? If you see your doctor for your yearly checkup‚ you would notice that the first thing they would do is check your vitals. Taking your blood pressure is one of the first steps when taking your vitals. Blood pressure refers to the force of blood pushing against artery walls as it courses through the body .Although many of you may not think that pressure of the blood system is not such a fascinating
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