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Orthostatic Hypotension Essay

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In this scenario, the subjected data is chest palpitation, lightheadedness and dizziness, the objective data is elevated heart rate with irregular rhythm, orthostatic blood pressure readings, lying 135/90, sitting 120/80, standing 100/60, and the client becoming dizzy and light-headed as he moves from a sitting to a standing position while taking the blood pressure. The subjective and objective data indicates that the patient has orthostatic hypotension. To determine what is causing the orthostatic hypotension a more in-depth health history, physical assessment, labs and diagnostic testing would need to be done.

Orthostatic hypotension is defined as a decrease in systolic blood pressure of 20 mm Hg or a decrease in diastolic blood pressure …show more content…

It is difficult to do a cardiac assessment on someone who is uncooperative and in handcuffs with multiple officers standing in a small room. When someone is uncooperative it is almost impossible to complete an assessment also the assessment is usually being rushed by the officers because the uncooperative patient is still a danger to others. By assessing the scene, I realized that when one officer got near this particular patient it seemed to escalate his uncooperative behavior. I asked the officer if he could leave the room, he stepped outside the room but the patient could still see him. I asked the officer to please step out of the door way and explained to the patient that the officer had left the room and would not be coming back this helped to calm the patient down enough so I could compete my

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