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  • Pathophysiology AHS HTN E

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    rod navales
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    This document summarizes the pathophysiology of hypertensive emergency and acute hemorrhagic stroke in a 55-year-old male with a history of non-compliance and alcohol consumption. It describes defects in renal sodium homeostasis and vascular smooth muscle growth that can lead to increased total peripheral resistance, hypertension, and end-organ damage like cerebral hemorrhage. The management involves nasogastric intubation, mannitol, antibiotics, antihypertensives, citicholine, and monitoring for complications of the right basal ganglionic hemorrhage including pain, impaired mobility, and non-compliance.

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    Pathophysiology-AHS-HTN-E

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    This document summarizes the pathophysiology of hypertensive emergency and acute hemorrhagic stroke in a 55-year-old male with a history of non-compliance and alcohol consumption. It describes defects in renal sodium homeostasis and vascular smooth muscle growth that can lead to increased total peripheral resistance, hypertension, and end-organ damage like cerebral hemorrhage. The management involves nasogastric intubation, mannitol, antibiotics, antihypertensives, citicholine, and monitoring for complications of the right basal ganglionic hemorrhage including pain, impaired mobility, and non-compliance.

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    © All Rights Reserved
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    41 просмотров1 страница

    Pathophysiology AHS HTN E

    Загружено:

    rod navales
    This document summarizes the pathophysiology of hypertensive emergency and acute hemorrhagic stroke in a 55-year-old male with a history of non-compliance and alcohol consumption. It describes defects in renal sodium homeostasis and vascular smooth muscle growth that can lead to increased total peripheral resistance, hypertension, and end-organ damage like cerebral hemorrhage. The management involves nasogastric intubation, mannitol, antibiotics, antihypertensives, citicholine, and monitoring for complications of the right basal ganglionic hemorrhage including pain, impaired mobility, and non-compliance.

    Авторское право:

    © All Rights Reserved
    Скачайте в формате DOC, PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    из 1

    Pathophysiology

    Hypertensive Emergency
    Acute Hemorrhagic Stroke
    Host Agent Environment
    55 years old unknown non-compliance
    Male alcohol consumption

    Defects in renal sodium Disease Process Defects in vascular smooth


    homeostasis Functional vasoconstriction muscle growth and structure

    Inadequate sodium excretion

    sodium and water retention ↑ Vascular reactivity ↑ Vascular wall thickness

    ↑ Plasma and ECF Volume


    ↑ Total peripheral resistance

    ↑ Cardiac output
    (autoregulation) Hypertension

    Uncontrolled hypertension

    Hypertensive Emergency Medical/Surgical Management


    • Nasogastric intubation
    • Mannitol + 5 cc IVTT q 4h
    High blood pressure damages cerebral vessels • Cefuroxime 1.5mg IVTT q 8h
    • Telmisartan 40 mg 1 tab OD in am
    • Azithromycin 500 mg 1 tab OD x 5 days
    right basal ganglionic hemorrhage • N-acetylcysteine 600 mg 1 tab + ½ glass
    H20 x 5 days\
    • Amlodipine 10 mg 1 tab in pm
    Acute hemorrhagic Stroke • Omeprazole 40 mg IVTT q OD
    • Lactulose 30 cc OD q hs
    • Citicholine 1 gram IVTT q 12h
    Signs and Symptoms • Levocetile 1 tab BID
    cerebral edema • Atorvastatin 80 mg 1 tab OD
    brain hemorrhage
    Key Nursing Problems
    Acute Pain
    Ineffective Tissue Perfusion
    Impaired Physical Mobility
    Complications Non compliance
    pain, dysphagia
    difficulty talking, paralysis, loss of muscle movement,
    change in behavior and self-care ability

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