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Hypotension & Antihypertensives
Antihypertensives should not be withheld just for hypotensive purpose. Patients with other high risk conditions, such heart failure, IHD, chronic kidney disease, recurrent stroke, etc., should be given antihypertensives inspite of hypotension. Patients with hypertension target organ damage, or at risk of, should continue antihypertensives, even with hypotensive events. Pregnant women with chronic hypertension who are at risk of preeclampsia should also continue with antihypertensives, even with hypotension situations.
"Therapeutic decisions in individuals with hypertension and other high risk conditions, such as heart failure, IHD, chronic kidney disease, recurrent stroke, etc., should be directed at both the compelling condition and lowering blood pressure" (National High Blood Pressure Education Program, 2004, Aug). According to the authors, 40-50% of patients with heart failure symptoms have preserved systolic function and are more likely to have hypertension, LVH, and isolated diastolic dysfunction. Progression to more severe...
CAD causes heart failure in approximately two thirds of heart failure patients in the U.S. Type 2 diabetes is also associated with 70-80% chance of premature death from CVD and stroke. Research showed that with each 10 mmHg decrease in systolic blood pressure was associated with average reduction rates of diabetes-related mortality by 15%, MI 11%, and microvascular complications of retinopathy or nephropathy by 13%.
Hypertension target organ damage can be reduced or prevented with the use of antihypertensives (Sartori, 2005). The author also explains that the use of antihypertensives is reasonable in the prevention of cardiovascular events in patients with PAF when a small reduction in life expectancy is expected. And, recommends antihypertensives for…
Works Cited
Carson, M.P. (2014, May 6). Hypertension and Pregnancy. Retrieved from Medscape: http://emedicine.medscape.com/article/261435-overview
Program, H.B. (2004, Aug). Special Situations in Hypertension Management. Bethesda, MD Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK9629/: American Heart, Lung, and Blood Institute (U.S.).
Sartori, M.P. (2005). Orthostatic Hypotension and Supine Hypertension in Primary Autonomic Failure. Hypertension, vol 45, e18-e19 Retrieved from http://www.hyper.ahajournals.org/content/45/6/e18.full.
Patient and family education is essential especially with regards to eating habits. The patients should avoid excess fat in their diet as it contributes to high chances of contracting the disease (Bolen et al. 2010). The drug has, however, remained on the market in the U.S. The drug has been removed from European markets due to escalating concerns regarding safety. Obesity has considerable contribution to the number of preventable deaths
Anti-Hypertensive Drugs: The concern on whether anti-hypertensive's should be withheld in patients who are hypertensive has been debatable in the recent past. Generally, the treatment of hypertension among hospitalized patients is basically an opportunity to enhance the recognition and treatment of blood pressure (Axon, Nietert & Egan, 2011, p.246). This is mainly because hypertension is a basic risk factor for heart diseases, stroke, and death whose impact is widespread to nearly
Teaching Plan Patient Name: Mr. M Age: 52 years old Brief: Patient suffers from uncontrolled hypertension and hypercholesterolemia. Patient has no other medical history. Patient also has no allergies, and has not been taking any medications previously. A: Learning Need Assessment This teaching plan is based on the premise that although the diagnosis as well as proper treatment of a disease are of great relevance to the prognosis of a patient, there is need for
Heart Disease and the Elderly The objective of this work in writing is to examine how heart disease takes a toll elderly. Toward this end, this work will conduct a review of literature that examines the toll that heart disease takes on the elderly population. Approximately 18 million people or 7% of all individuals in the United States have heart disease. Heart disease affects older people more significantly as the elderly are
However, recently, anesthesiologists have suggest a low to mid thoracic epidural combined with adequate general anesthesia. This anesthetic technique will allow for adequate inter-operative monitoring. After the operation, the anesthesiologist must continue to monitor the patient for either hypertension, hypotension and hypoglycemia. The presence of either of these conditions may alter the course of the medication given to the patient once the patient is removed from the anesthesia. Respiratory System Neurofibroma