A 62-year-old male astronaut Captain Fallowell spent the last 8 months in the international space station. During his first speaking engagement, the captain passed out in the middle of the speech. He is very alert and oriented man. His pulse rate was racing down during the speech and his blood pressure was recorded differently while he was lying down and standing. Captain’s reflexes were normal and there was no sign of associated head trauma. The heart rate of the Captain was found at 85 beats per minute. His pulse was very weak and his blood pressure was recorded at 116/66 mm Hg (millimeters of mercury) when he was lying down. His heart beats and blood pressure changed to the 112 beats per minute and 94/52 mm Hg, respectively, in the standing position. When he was standing, the captain encountered the blackouts and the dizziness.

Question

Want to see the full answer?

Answer 1

Question

Chapter 19, Problem 5CCS

Summary Introduction

Introduction:

A 62-year-old male astronaut Captain Fallowell spent the last 8 months in the international space station. During his first speaking engagement, the captain passed out in the middle of the speech. He is very alert and oriented man. His pulse rate was racing down during the speech and his blood pressure was recorded differently while he was lying down and standing. Captain’s reflexes were normal and there was no sign of associated head trauma.

The heart rate of the Captain was found at 85 beats per minute. His pulse was very weak and his blood pressure was recorded at 116/66 mm Hg (millimeters of mercury) when he was lying down. His heart beats and blood pressure changed to the 112 beats per minute and 94/52 mm Hg, respectively, in the standing position. When he was standing, the captain encountered the blackouts and the dizziness.

Expert Solution & Answer

Want to see the full answer?

Check out a sample textbook solution

See solution

Students have asked these similar questions

Matt, a 54-year-old roofer, just fell 12 metres from a building under construction. Initially he struck the ground with his feet, then fell onto his left side. Conscious and alert at the scene, he complains of severe back and lower leg pain.His vital signs: Blood Pressure- 140/88 mmHg; Heart Rate- 112 bpm; Respiratory Rate- 28 bpm; SaO2- 96% on Room Air; and Temperature- 36.7⁰C. His Glasgow Coma Scale (GCS) score is 15.Paramedics administer oxygen at a flow rate of 15 litres/minute via Non-Rebreather Mask and apply a cervical collar and a backboard to immobilise his neck and spine. They also place a 16-gauge Peripheral Intravenous Canula (PIVC) in his left forearm and begin an infusion of 0.9% Sodium Chloride solution.When Matt is brought into Emergency Department (ED), he can speak clearly and provide an account of the accident.Identify the nursing assessments with rationales that should be provided in the first hour upon receiving Matt from the paramedics

Table 1 Blood pressure recordings for all positions Body positions Mean systolic BP Mean diastolic BP Sitting position Standing position Supine position Supine position with crossed legs 102-8 + 11-4 65-7 + 82 99.9 + 10-2 66-0 + 8-7 107-9 + 10-7 66-9 + 96 107-0 + 86 66-7 + 7-3 F= 444, P 00s BP, blood pressure. Table 2 Pairwise comparisons between positions in systolic BP Sitting position position Standing Supine position Standing position Supine position Supine position with crossed legs *, the mean difference is significant at the level 0-05 level. Adjustment for multiple comparisons: Bonferroni. Does age factor has any influences in the blood pressure with the change of body positions?

48