At admission Mrs Fulchers blood pressure was 17248 mm Hg supine and 10040 mm Hg

At admission mrs fulchers blood pressure was 17248 mm

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furosemide (Lasix), amlodipine (Norvasc), and metoprolol (Lopressor). At admission, Mrs. Fulcher’s blood pressure was 172/48 mm Hg (supine) and 100/40 mm Hg (sitting), her pulse was 116, respirations were 20, and her temperature was 101.9°F. Additional assessment findings included a murmur; 2+ pitting tibial edema; no peripheral cyanosis; lungs sounds clear bilateral; orientation to person, place, and time but drowsiness; hematuria; and multiple petechiae on the skin of her arms, legs, and chest. What is the significance of the orthostatic hypotension, the wide pulse pressure, and tachycardia? Her blood vessels were already narrow so any change could cause her to fall out because her blood pressure wouldn’t be able to stabilize quickly enough with thrombi in her vessels. Her wide pulse pressure is higher because the heart is working harder because of the infection and weakening of the valves which is causing stress on her heart therefore causing a high heart rate to make up for the low blood pressure. What is the significance of the hematuria, joint pain, and petechiae?
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  • Spring '17
  • Heidi Hogue
  • Cardiology, Mrs. Fulcher, -Mr. Jones

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