Orthostatic Hypotension Essay

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1. What might the client be experiencing and why? This client might be experiencing orthostatic hypotension due to a systolic drop in blood pressure of greater than 20 mm Hg when going from a supine or sitting position to standing (Jarvis, 2012). This could occur because he is on anti-hypertensives (Kee, Hayes, & McCuistion, 2012). 2. What information might be important to obtain to help confirm this suspicion? Assessing this client’s blood pressure in a supine position, then a sitting position, then a standing position should detect the presence of orthostatic hypotension (Jarvis, 2012). 3. What teaching instructions would be important for this patient? It would be important to teach him how to avoid orthostatic hypotension by slowly rising from a supine or sitting position. He would need to dangle his legs and/or flex his calf muscles for at least a minute prior to rising to a standing position (Perry, Potter, & Elkin, 2012). 4. What is the primary action of beta blockers and what receptor is being blocked? The primary action of beta blockers is to block beta 1 and/or beta 2 receptors, thereby lowering blood pressure and heart rate (Vallerand, Sanoski, & Deglin, 2013). Depending on whether the drug is a non-selective (beta 1 and beta 2) versus selective (beta 1 only) beta blocker determines which receptor is blocked (Kee et al., 2012). Jarvis, C., (2012). Physical examination & health assessment (6th ed.). St. Louis, MO: Elsevier. Kee, J. L., Hayes, E. R., & McCuistion, L. E., (2012). Pharmacology: A nursing process approach (7th ed.). St. Louis, MO: Elsevier. Perry, A. G., Potter, P. A., & Elkin, M. K., (2012). Nursing interventions

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