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Nursing Care Plan For Hypertension Gout Cva Seizure Sleep Apnea
A blood pressure reading has two numbers: a systolic blood pressure and a diastolic blood pressure. The systolic blood pressure is the maximum pressure the blood exerts on the vessels when the heart is beating. The diastolic blood pressure is the pressure the blood exerts on the vessels in between heartbeats. Hypertension, or high blood pressure, begins when the systolic blood pressure remains above 140 or when the diastolic blood pressure remains above 90. Hypertension can be a result of increased blood flow through vessels or increased resistance to ...Read more
14 month cirrhosis lt ..58/f. Hbp, diab. Asth/w several infections. Pt/arm. Memory.Back sleep.. Moods..Caregiver 60%. Work possible? Adm position?
What is your ?: Are you asking if you can work with these medical problems? There is no way anybody can answer this question without a good history, physical examination and possibly lab tests. How well are all of these being treated, or are they being treated at all? What is the underlying causes of some of these problems? These are questions you need to be asking one or more of your medical providers. ...Read more
Is ssri antidepressant ok for multi infarct stroke patient, age 67, suffering atrial fibrillation, heart issues, diabetes, higher creatine level.
I'm 61 w/heart, brain, kidney conditions including chf, af, bypass, lacunar stroke. I'm avoiding md visits i need. Could a case manager help me?
No.: A case manager is not a replacement for your doctor by any means. With all those underlying medical conditions, you should be getting care regularly. You can avoid the doctor, but you won't be able to avoid the problems your diseases are bringing. Good luck! ...Read moreSee 1 more doctor answer
Safe to work 3rd shift job if seizure disorder completely under control for six months with meds? Any relationship night shift/seizures if epilepsy
Pace yourself: Glad to hear that your seizures are controlled with lamictal, a quite effective drug. However, you do need to know that sleep deprivation and/or shift work changes in your sleep pattern could possibly increase risk of break-through seizures. Please discuss with your doctor, if work schedule not changeable, as during waking state can use nuvigil, and when wears off, you can sleep better. ...Read moreSee 1 more doctor answer
Can Status epilepticus be pseudo from PTSD? x19hr total loss aware No+EEG during prob to med given for seize Rpd slwng brain wvs 1rst epilepsy event
What was happening: During the status. Were you having tonic clonic movements or were you in a post ictal or other form of unconsciousness? Seizures can result from a number of medical illnesses. Temporal lobe seizures can be hard to find on an EEG but during a seizure there should be something. I am suspicious that something else may have been happening and would welcome further information . Exam and labs. ...Read more
I get morning migraines heada%e7he from lack of oxygen due to sleep apnea induce asthma attack at night. Cpap triger asthma attacks with coughing spel?
Bp constantly 160/80 despite micardis (telmisartan) 80, norvasc 5, labetolol 50. Pulmonary htn with ckd, lupus.. imdur, diuretics not advised by md. Other choices?
160/80: There seems to be much going on and not fully helping you. For now please check your blood pressure every other morning and every other alternate night. I suspect that the blood pressure data will be different from day to day, in which case you must contact your doctor for treatment advice. Please let me know how things develop. ...Read moreSee 1 more doctor answer
Pseudo-moyamoya isochemic stroke at 43. Now 48. Arrhythmia + sleep apnea (OSA). Plavix + Betaloc + Splendil ER + Crestor (rosuvastatin). Good shape. Other dangers?
Is sleep apnea related to COPD and/or asthma? What are some effective treatments for someone with sleep apnea and COPD - cpap, bipap, pillows?
When should medical attn be sought for alcohol withdrawal? Drinking 7-8 beers/night for 2 yrs. Sober 48hrs. Nitesweats, fast heart, sleep trouble
Mother 58 years. Heart attack (ami) followed by ptca and cardiac arrest. Discharged 5 days earlier.Ef = 52%.Will she take full bed rest? Any risk ?
What's the prognosis for frail geriatric esrd patient with 3-weekly hd, uncontrollable BP (> 180/100) and dm (fasting blood sugar >350)?
Safety: Make sure that the patient is not in a situation where he or she can hurt themselves such as by falling or hitting something hard, turn them on their side to keep tongue or other material from blocking the windpipe, call for help. ...Read more
Bi-polar, aspergers. Huge weight gain last 6 months. Taken of sleeping aids. Therapist/nuitritionist suggest k2 & calm for sleep.
Psychiatric review: Before running down the sleep supplement route when on medication is it always wise to talk to the prescribing psychiatrist - some supplements can be problematic depending on your meds - and too many cooks spoil the broth. Some psychiatric meds can cause weight gain - this should all be reviewed medically. ...Read moreSee 1 more doctor answer
5 hrs sleep= easy to wake but not refreshed. 7+= headaches, oversleeping, coma like. Worse with Trileptal (for bipolar). Blood sugar crashing @ night?
Blood sugar: Possible. One quick way to tell - don't eat any refined carbs (bread, regular potatoes, etc.) for dinner. At bedtime, have a snack of some celery and peanut butter. The peanut butter "burns slowly" in your body. If you feel better in the A.M. - that was it! you should also have a fasting Insulin checked in the A.M. To see if you are "hyperinsulinemic." that could mimic what you describe. ...Read more
Names of most suitable ssri antidepressant needed for multiinfarct stroke dementia patient, 67, with minor congestive heart failure, atrial fibrillation, diabetes. Dosage and duration info appreciated.
SSRIs: There is some evidence that ssris help with post stroke remodeling where the brain works on regrowing connections between brain areas that were not killed by the stroke. There is also evidence they help prevent post stroke depression that is very common. Not much reason to think one ssri is better than another. See your prescriber for specific dosage recommendations. ...Read moreSee 2 more doctor answers
Many issues: Forget about pre-diabetes, at least for now. If you haven't seen a psychologist you should ask for a referral. If you already have a psychologist ask your friends if they might know someone else. You should be seeing your cardiologist regularly. ...Read more
Dx CHF 2012 in ICU, problems since.History septal infarct,flutter. Tired, weak, arrhythmic, SOB, pain.No drugs/alcohol. Health not great. Help please.
U need Cardiologist: The problems you indicate are important. Coronary artery blockage, atrial flutter, heart failure, medication side effects are all possible causes of your symptoms. Hopefully u have a heart doctor. U need to sit with him/her and go over everything. Best Wishes. ...Read moreSee 1 more doctor answer
What health education can be given to a 54 year old male patient with congestive cardiac failure, hypertension and obesity to ensure a long healthy l?
Sleep apnea has two causes. It may be 'central' or 'obstructive'. Central apnea occurs as a disorder in the way the brain controls breathing. Obstructive sleep apnea is much more common and involves an anatomical blockage of the airway. Usually, the tongue blocks the airway, preventing the passage of air between the a sleep study is needed to diagnose particular ...Read more
This is the cessation of breathing for 10 seconds or more. Most apnea is obstructive being caused by collapse or obstruction of the airway leading to lack of air flow. However, it can be a central process, where the respiratory center of the brain fails to signal the respiratory respiratory system to initiate a breath. Lastly, some apnea is mixed central ...Read more
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