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References:
Blood vessels
heart
Wall less
elastic
Pump blood
out less
efficiently
Muscle
relaxes less
between beat
Less strength
contraction
during
exercise
Wall thicken
Decrease of
resistance
Less
responsive to
stimulation
Drugs HTN
Orthostatic
hypotension
Bone weak
muscle
Decrease of
blood flow
Less nutrition
supply to
bone cell
Decrease of CO
brain
Reflex to
maintain BP
upon standing
up slower
Increase
sympathetic
tone
FAL
L
HTN
References:
Drugs HTN
Diagnosis
Treatment
Thrombolysis
Rate control,
anticoagulation
CAD
Chest discomfort or
dyspnea with
emotion/DOE women
as well as men
CHF
Same as young
Diuretics,digoxin,+Bblockers/CCB
Htn
Systolic,
asymptomatic
Valvular
Altered physical
findings
Echocardiography
Atrial
Fibrillation
disease
?Revascularization
The use of antiocoagulant drugs may result in bleeding more readily and is
dangerous in people who are unsteady and subjects to frequent falls.
B-blockers tend to slow the heart more.
Inravenous lidocaine may cause more confusion.
Anticoagulant is the chief weapon against stroke
2. Treat symptoms with a goal of improving quality of life as well as morbidity :
Control BP ---- systolic and diastolic.
Control atrial fibrillation rate.
Promote physical activity.
Adjust medications for age- and disease- related changes in kinetics and dynamics.
Time between dosage adjustments and evaluation of dosing changes should be
longer in older patients than in younger patients.
Routine use of strategies to avoid drug interactions is essential
The side effects of some medicines can upset your balance and make you fall. Medicines for
depression, sleep problems and high blood pressure often cause falls. Some medicines for
diabetes and heart conditions can also make you unsteady on your feet. You may be more
likely to fall if you are taking four or more medicines. You are also likely to fall if you have
changed your medicine within the past two weeks.
References: