...sometimes I have a difficult time getting to the ground or a seated position quickly enough. I have had occassions when attempting to get off my feet in time I have hit my head on counters or other objects or lost my balance completely due to the accompanying dizziness. A service dog could possibly be beneficial in these situations in helping to stabilize me and get safely to the ground. The accompanying symptoms and fatigue that go along with my autonomic dysfunction sometimes cause me to have unsteady gait and I frequently also have right foot drop which causes me to lose my balance. A service dog could help me in such situations. A big trigger for me is bending down to pick up objects. This has a tremendous effect on my orthostatic hypotension. A companion dog could enable me to pick up some of these objects without having to bend over or squat down, both of...
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...NUR 427 Health and Chronic Disease Management This paper will be discussing the personal impact and journey of 46-year-old Mrs. Linda being diagnosed with what is referred to as orthostatic intolerance. “Orthostasis means 'standing up'. Thus, orthostatic intolerance (OI) is defined by the inability to remain upright. It is often erroneously designated 'orthostasis'. More specifically, OI can be defined by the inability to remain upright relieved by recumbence” (Stewart, 2012). The patient spent more than 20 years with torture and life threatening symptom no doctor could identify. The patient was born in southern Minnesota. When she turn to puberty, her body change in ways she never expected. She was felling weak, fatigue, dizzy, and lightheaded. She tried to manage her symptom during adolescence with different over the counter medication. After celebrating her 18th birthday, she decide to leave Minnesota and went to Buffalo Los Angeles. As soon as she touches California a new symptom emerge. She was feeling a migraine symptom and affects her to focus. When the migraine increase she did appointment with neurologist. The doctor order CT scan to see if there is any unusual thing in her brain. The result came normal. She went to seek treatment with various doctors who were not able to explain to her the cause of her migraine. Then she left her work and return to Minnesota. This disease has had a huge impact on her everyday quality of life as well as her family and friends...
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...When we spoke to the members of the stein center we were able to discover that many of them were eager to learn about hypertension, the reasons for their medications, and effects. They were very interested and just needed some clarification on the subject. There is a knowledge deficit in the community related to hypertension as evidence of personal communication. They voiced that their knowledge on the subject was very limited and needed more understanding. So by the end of the presentation that was given regarding hypertension they will be able to demonstrate understanding of what hypertension is and how to prevent or manage hypertension. We will measure the success of the education by handing the members pre and post exams as well as verbal surveys. The style of teaching will be visual, as well as audio. The members voiced that they learned best when there are visuals. They expressed that too much talking can bore them but if they are engaged there is a greater chance that they will grasp the concept. On June 19th 2012 at 11:25 am, my colleagues and I conducted a fifteen minute presentation on high blood pressure management for the members at the Senior Stein Center. Sixteen members participated in the teaching session, the member’s age range from 60 and up, male and female both participated, the race and ethnicities consisted of African American, Caucasian, Hispanic, and Asian. To determine the learning needs of that particular group, we provided a pretest prior to the teaching...
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...department. Renee patiently explained her answer to each of the following questions posed by the detective. Questions: 1. How does the body regulate blood pressure? * The body has certain mechanisms that help it keep a stable blood pressure or change it when needed. It contains sensors that monitor blood pressure within the walls of arteries that send input signals to the cardiovascular center which sends output signals to the heart and blood vessels to adjust accordingly. 2. What were the specific effects of the Lasix, hot water, and alcohol on the couple’s blood pressure? * Alcohol and Lasix medication should not be mixed due to the effects of sudden drop in blood pressure that could get to the point of orthostatic hypotension, which is caused by standing after sitting or lying down for a while. Other effects are feeling dizzy, light-headed, temporary loss of consciousness, and tachycardia. The hot water temperature, wine, and Lasix caused the body temperature to increase, blood pressure to drop, blood flow to decrease, and dehydration. 2. What could...
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...English 4 27 February 2014 Invisible Illnesses That Never Show Do you know anything about the illnesses that you really can’t see? For instance, I live with an illness that no one can see and I will live with it for the rest of my life. Even though you may not be able to see the illness in someone that doesn’t mean that there is nothing wrong with them. It could be any type of illness such as a nervous system disorder or disease. People can’t always see or tell if it is there but it is and people just don’t know it. Children with dysautonomia need more help than what they get now. The invisible illnesses that go unnoticed in children and don’t get publicity are multiplying. Publicity comes with illnesses that are common and known such as cancer. The funding and awareness for illnesses that you can’t see such as dysautonomia, Shy-Drager syndrome, and more are lacking. The treatments for children are behind from where they could be. There are many children are diagnosed with these invisible illnesses such as dysautonomia and other nervous system disorders that you can’t see. Dysautonomia is a serious disease of the autonomic nervous system. The percentage of being an affected individual dysautonomia is a twenty-five percent chance. Also there is a fifty percent chance of being a carrier. (Shohat) There is information on dysautonomia that shows in some people for than others. The information that has been gathered on these disorders in children should be known to the world...
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...would have him review and make sure he understands which foods are high in vitamin K. He does not necessarily need to limit his intake but he needs to have a consistent intake. Before passing Mr. Apples 0900 medications which include; digoxin, furosemide, metoprolol and lisinopril, you take his vital signs and notice his BP is 110/40, and his apical heart rate is 48. Would you give him all these medications, if not which ones would you hold and why? I would hold Metoprolol and Digoxin, medications can lower the heart rate and blood pressure, and hold the lisinopril and furosemide, medications that lower blood pressure. The patient's blood pressure needs to be retaken and the patient needs to be assessed for signs and symptoms of hypotension based on the diastolic number of 40. After assessing the patient I would call the physician for further orders and possible medication...
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...The title of the research article I chose to critique is from the Journal of the American Geriatrics Society. “Hypertension, orthostatic-hypotension, and the risk of falls in a community-dwelling elderly population: The maintenance of balance, independent living, intellect, and zest in the elderly Boston study”; this title fits well with the content presented in the research article. The independent variables are clearly defined as well as the dependent variables for the research being conducted. The content of the abstract is a very good overview of the content and it is consistent with the content. The abstract summarizes the objective, design, setting, participants, measurements, and results. Problem/Purpose The problem being investigated is the risk of falls in the elderly population related to the effects of controlled and uncontrolled hypertension and orthostatic hypotension. The authors do identify the significance of the problem as falls for being the leading cause of disability for the elder generations. Adequate background information is not provided to support the problem because the subject at hand “has not been investigated previously” (Gangavati, et al., 2011, p. 383). Explanation of the purpose of this study being conducted is provided by the authors. Literature Review The previous research articles and their outcomes are briefly described with different amounts of time from...
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...YOGA: A PATH TO HEALING AND RECOVERY 1 Yoga: A Path to Healing and Recovery Leonel H. Herrera WGU 5/23/13 YOGA: A PATH TO HEALING AND RECOVERY 2 Yoga: A Path to Healing and Recovery In the introduction to Horton’s book 21st Century Yoga Culture, Politics, and Practice it illustrates how in the past 15 years yoga has gone from a cultural eccentricity to a $27 billion industry and is taught everywhere from spas to prisons (Horton, 2012). According to WEBMD Yoga has been practiced for more than 5 thousand years and 11 million Americans are experiencing improved health, strength, and flexibility from its practice (The Health Benefits of Yoga, 2012). Nevertheless, is yoga everything it promises? Are people healthier physically and mentally? Are there dangers to practicing yoga? Is it safe? (Bee, 2012) Research suggests that yoga is a highly therapeutic means of exercise because it provides beneficial physical results, leads to positive psychological effects and poses few risks. Physical Benefits of Yoga Yoga bestows several physical health benefits such as lowering blood pressure, lowering heart rate, decreasing blood glucose levels, and mitigating the effects of stress. Cade’s study found that adding yoga reduced resting blood pressure by 4 points compared with the control group (Cade, et al., 2010). McCaffrey and Hatthakit’s study found systolic and diastolic blood pressure as well as heart rate all significantly declined over an 8-week yoga intervention (McCaffrey & Hatthakit...
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...-Transphenoidal hypophysectomy- nasal packing, don’t brush teeth, don’t increase abdominal pressure, assess nasal drainage for glucose and halo sign. Leak= rest, HOB less then 30 degree, decrease stimulation. Risk of meningitis and DI. -DI- getting rid of pure water. LOW(DILUTE) URINE (lower urine osmilatity), high serum osm. Specific gravity low, hypernatremia. Restrict water and sodium. Give hypotonic fluids. Cerebral Hemorrhage. Dehydration -SIADH- keeping sodium and water. Concentrated urine (high urine osmilatity), low serum osm. High specific gravity, hyponatremia. NS/hypertonic. Cerebral Edema. Fluid overload. -Ventriculostomy is the only one that can drain -Right and left internal carotids and right and left vertebral arteries feed ipsilateral side of the brain. If vessel is damaged (aneurysm, bleeds), contrlater nerro deficits if vessel damage is in the cerebrum, ipsilater if vessel damage is in cerebellum; circle of Willis- anastamosis of vessels at base of brain provides collateral circulation, common site of aneurysms. - Increase cerebral blood flow- high PaCO2/low pH, low Pa02/sats, low blood pressure. Hyperventilation to lower PAC02 to vasoconstict the erebral blood vessels and to decrease blood flow to the brain. -Monroe-Kellie hypothesis: Brain, blood flow, and CSF. We alter the blood flow and CSF. Not the brain. We can dilate and constrict blood flow. We can also remove CSF. -BBB: helps to filter out toxic chemicals to the brain. Lipids, water, ammonia...
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...changes in pulse or heart rate. These side effects are most likely to be seen at the beginning of treatment, following a dose increase, or when treatment is restarted after an interruption. Let your doctor know if you develop these symptoms and they do not go away after a few days or they become troublesome. Avoid driving or operating hazardous machinery until you know how the medications affect you, and use caution when getting up from a sitting or lying position. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor. MONITOR: The hypotensive effects of levodopa and antihypertensive agents may be additive. Postural hypotension may occur. MANAGEMENT: Hemodynamic responses should be monitored during coadministration, especially during the first few weeks of therapy. Dose adjustments of the antihypertensive agent may be required. Patients should be advised to notify their physician if they experience dizziness or syncope. LEVODOPA + ACETAZOLAMIDE Levodopa and Acetazolamide have additive effects in lowering your blood pressure. You may experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate. These side effects are most likely to be seen at the beginning of treatment, following a dose increase, or when treatment is restarted after an interruption. Let your doctor know if...
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...Sarah Gray @02668478 Intro to Pharmacology Case Study 4 Chapter 41 The Furosemide (Lasix) which lessen the fluid volume by escalate the amount of electrolytes and water that the kidneys are getting rid of. When there is less fluid volume the blood pressure will go down. Since her blood pressure is decreasing, the rate of her heart beat will decrease, diminish the amount of work that the heart has to do, and lowering how much fluid has built up in the lungs. The nurse needs to know how fast Furosemide (Lasix) should be given, how it work with other intravenous liquids, and what Lasix’s concentration is. The Foley catheter was ordered so it would accurately measure how much fluid was being released due to the Lasix (furosemide). The nurse should look at her blood pressure, respirations, temperature, pulse, pulse ox, and pain. He or she should also look for sluggishness and unsureness which are signs of hyponatremia; hyperkinesis, uncontrollable muscle spasm, easily upset which are symptoms of hypochloremia; thromboembolism which can be indicated by pain in lower extremities, migraine, inability to breathe, change in level of consciousness, and pain in chest. The nurse needs to let the prescriber know that all though the client’s potassium level was normal it was low in the normal range at the time the labs were drawn, Lasix can cause a drop in potassium, chloride, and sodium. He or she also needs to find out if the patient is currently on a regimen containing digoxin...
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...January 30, 2012 Personalized For: Ms. Mary Swift. Medication: Lisinopril Pharmacologic Category: Angiotensin- Converting Enzymes (Ace Inhibitor) you need to know the class of this drug in case you ever have surgery. Some doctors like to give are hold it. This drug may cause Hypotension with mayor surgery. Reason for medication: Treatment for Hypertension (Elevated Blood Pressure). Dosage Range: 10-40mg daily You have been prescribed 40mg daily. Take the first dose at bedtime. Then daily in am at the same time. This drug has other usages but in your case Hypertension. Managing your Blood Pressure. Things to watch for while taking this medication: Hypotension: Medication takes effect within 1-3 hours. (Low blood pressure) Signs will be dizziness, lightheadness. Don’t stop taking the medication without first consulting your doctor. Monitor your blood pressure daily and record it until your next visit with your doctor. He then can determine if the dosage it to how. He and only he can make the changes. Possible Side Effects: Angioedema: signs of swelling involving head & neck this would compromise the airway. Cholestatic Jaundice: A rare toxicity associated with Ace Inhibitors. (Yellowing of the skin or eyes). Cough: A dry hacking cough that persists. (This occurs the first few months of treatment.) Hyperkalemia: Renal dysfunction. (Increase Potassium Levels) Use of potassium- sparing diuretics, potassium supplements and/or potassium containing salts. Use cautiously...
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...Falls: Risks, Facts, Prevention Falls: Risks, Facts, Prevention The following information is a compilation of the teaching plan utilized for the community teaching assignment. The information presented includes statistical analysis and detailed information on potential risks of injury and death related to falls among the elderly. It also highlights prevention methods that can be utilized in an attempt to decrease Emergency Room visits secondary to falls. My target audience consisted of 18 senior citizens who reside at Heartfield Assisted Living Facility in Cary, NC. The median age of this group was 78 years old. A wheelchair with faulty brakes, oxygen tubing and a quad cane were used for props and demonstrations of safe vs. unsafe use. My teaching plan followed the pamphlet that was created for the teaching assignment. I chose this format as I felt it would be helpful to provide a resource for seniors to reference after completion of the session. The title of the pamphlet is Falls: Risks, Facts, Prevention; Understanding potential hazards and how to promote safety. The pamphlet/teaching was broken down into three categories: facts and statistics related to falls in the elderly, fall risks and prevention methods. An “Are you at Risk”? question and answer segment was also included to create awareness for individuals who believe they are practicing safety. This encouraged participants to analyze their...
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...Mineral and Water Function Essay Water and minerals are essential to our survival as humans. Not getting enough of the two things can cause a lot of problems, anywhere from dehydration, anemia, high blood pressure, and increased risk of infection. The functions and sources depend on the mineral. For example calcium, which is milk, cheese, yogurt, and orange juice builds bones and teeth and keeps them strong, it also slows down bone loss, and helps muscles work properly. The mineral iron, which is meat, fish, poultry, iron and grain carries oxygen to all parts of your body and keeps you from being tired. Another mineral is potassium, which is bananas, sweet potatoes, tomato juice, prune juice, and dark leafy greens, helps control your blood pressure, and allows nerves and muscles to work together. A mineral named magnesium, which is spinach, bran cereal, peas, almonds, cashews, and seeds keeps nerves and muscles strong, and helps your bones and teeth. Some of these minerals have things in common with the functions, but they all come from different sources. There are several functions of water in our body, one it distributing essential nutrients to cells, such as minerals, vitamins and glucose. Also Water removes waste products including toxins that the organs’ cells reject, and removes them through urines. As well as being an effective lubricant around joints water also regulates your body temperature. The main way to prevent dehydration is to drink plenty of water...
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...GENERIC NAME:LABETALOL - ORAL (luh-BET-uh-lol) BRAND NAMES: Normodyne, Trandate DRUG CLASS AND MECHANISM: Labetalol is a drug that is used for treating high blood pressure. Nerves from the adrenergic nervous system travel from the spinal cord to arteries where they release norepinephrine. Norepinephrine attaches to adrenergic receptors on arteries and causes the arteries to contract, narrowing the arteries, and increasing blood pressure. Labetalol blocks receptors of the adrenergic nervous system. When labetalol attaches to and blocks the receptors, arteries expand, resulting in a fall in blood pressure. GENERIC AVAILABLE: Yes PRESCRIPTION: Yes PREPARATION: Tablets: of 100, 200 and 300 mg; Injection: 5 mg/ml STORAGE: Tablets should be stored between 2-30 C (36-86 F). PRESCRIBED FOR: Labetalol is used alone or in combination with other drugs to reduce blood pressure. DOSING: The recommended starting oral dose of labetalol is 100 mg twice daily and the dose can be increased by 100 mg twice daily every 2-3 days based on the response of the blood pressure. Usual maintenance doses are 200-400 mg twice daily. Patients with severely high blood pressure may require 1.2 to 2.4 g daily. Stopping or changing the dose of the drug should be directed by a physician because serious side effects may occur. The initial intravenous dose of labetalol is 20 mg injected over 2 minutes. Additional injections of 40 or 80 mg may be administered every 10 minutes as needed up to a total dose...
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