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
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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
and the information from this case to explain each of the following aspects of blood pressure and discuss
I, Cpl. Lessane, along with Deputy Ayer, responded to Hampton Regional Medical Center, to assist Deputy Smalls, with a runaway mental patient. Upon arrival, Deputy Smalls stated a mental patient, Travis Johnson, ran away from the Emergency Room with a set of black handcuffs on one of his arms. Deputy Smalls stated he wasn’t sure of Travis exact location at the time. Deputies along with assistance from the Varnville Police Department and the Hampton Police Department patrolled the area in an attempt to make contact with the patient. No contact was made at that time.
OFC York then left to talk to the RN that Buckley had spoken to. OFC Figueroa and I followed the Veteran down to TVC and back to Desk A, behind Information Desk, were he was told again by OFC York and me to Buckley leave the facility. We attempted several time to get voluntary compliance from the veteran to leave the facility. When the veteran failed to comply with leaving the facility, We attempted to place the Buckley under arrest. Buckley pulled away from OFC York and tighten up his arms in attempt to keep us from placing handcuffs on. I tried to take Buckley down with an arm bar take but was unsuccessful in taking him down. Buckley was able to get his hand and lock them to together in front of him making it hard to get his hands behind his back. I attempted run my foot down his shin to get him to the ground but he was able to courter my
We arrived at Clearview at 2231 Hrs. and took the patient to room 14. I went back outside and began to put our unit back together when Supervisor Carlock approached me and in a very agitated voice said: “WHY DID YOU PULL OFF?” Surprised, I said “What are you talking about?” He said loudly, “I TOLD YOU TO STOP AND YOU DIDN’T!” I replied, “Jeff was telling me not to stop because we had a pulse back.” He said “I DON’T CARE WHAT JEFF SAID, I’M YOUR SUPERVISOR AND I TOLD YOU TO STOP!” I said “Dennis, I think you’re talking to the wrong person, you need to be talking to Jeff, I was doing what he told me to do.” He replied “WHO’S YOUR SUPERVISOR, WHO’S YOUR SUPERVISOR, I AM, NOT JEFF, YOU DO WHAT I SAY!” I said ”yes, you are the supervisor, but at that moment I was doing what the Paramedic in charge of patient care was telling me to do, and what I felt was best for the Pt., since we had a 41 Y/O patient who had a pulse.” He said “I DON’T CARE, YOU DO WHAT I SAY!
Everyone is exhausted and I know someone will come help”. I reviewed the chart. This patient condition seems eerily familiar; a young lady with Postural Orthostatic Tachycardia Syndrome (POTS). This particular female patient came to our clinic for IV hydration to treat her POTS. POTS is a condition in which a change from the supine position to an upright positin causes an abnormally large increase in heart rate (tachycardia) along with lightheadedness, fainting and a host of other unpleasant symptoms. I’m familiar with this condition because my oldest daughter was diagnosed with this condition at the Mayo Clinic when she was a teenager. This diagnosis was only the beginning of a long journey through the healthcare
1. Which action will the nurse in the hypertension clinic take in order to obtain an accurate
Being knowledgeable about the heart is very important, especially if one is an athlete. This experiment is significant, because it can tell us how important it is for one to keep their heart healthy. It will also tell us how playing a sport can benefit one’s health and the well being of their heart. Our hypothesis says, if the athleticism of a person increases, then the heart rate recovery time will decrease when heart rate recovery in a function of athleticism. The purpose of this project is to see which type of athlete, or non-athlete has the best heart function.
Did you know that you can die from drinking too much water? Water intoxication can also be referred to as “water poisoning.” It can cause fatal disturbances in the brain functions. Meaning the normal balance of electrolytes in the body is pushed outside safe limits by overhydration. If your electrolytes drop too low too quickly, it can be fatal. Death by overhydration is rare, but it can still happen.
To start off the experiment, a baseline was needed in order to be able to compare the different variables through out the experiment. The subject was instructed to sit and relax quietly while the blood pressure cuff and pulse plethysmograph were placed properly. After the blood pressure was taken and analyzed, it was found that the subject’s blood pressure was 122/64 mm Hg and a pulse rate of 60 bpm. Now that the baseline was obtained, continuing with the changing variables could take place. Starting with the variable of postural changes, the subject first reclined for three minutes. After the two minutes, the
With the information found with what a patient’s blood pressure is, it helps health care
Objective Data Provided: Objective Needed: In Italics 5’8”, 105lbs, Temp, BP looking for hypotension, Pulse looking for bradycardia, RR, mental status exam- appearance, attitude toward
(Marieb and Hoehn, 2010, p 703) defined Blood Pressure (BP) as ‘the force per unit area exerted on a vessel wall by the contained blood, and is expressed in millimetres of mercury (mm Hg)’. BP is still one of the essential and widely used assessment tools in healthcare settings. Nurses generally record the arterial BP which is the forced exerted blood that flows through the arteries, to establish a baseline and to determine any risk factors. BP
The hypotension is a condition in which the blood pressure is much lower than the values considered being normal. Blood pressure varies from person to person. In general it is considered hypotension a condition in which the maximum pressure (or systolic) is equal to or lower than 90 mmHg and the minimum (or diastolic) is equal to or less than 60 mmHg. The hypotension causes are multiple and different significance: therefore vary from a trivial dehydration to more serious disorders. Low pressure is a disorder that can affect any person regardless of age.
Hypertension is the medical term for high blood pressure. A normal blood pressure is 120/80. A blood pressure reading higher or equal to 140/90 is considered abnormally high. Elevated blood pressure means your heart is working harder than normal, putting both your heart and arteries under great strain. High blood pressure is serious business.
Recording an electrocardiogram or ECG, is a procedure which is performed daily all over the United Kingdom by thousands of healthcare workers and in particular nurses (Jacobson, 2000). The way in which this procedure is performed varies from geographical location to location and occasionally even more so, between staff on the same ward (Amos, 2000). This reason stated by Amos (2000), formed the basis of my decision to choose this topic.