Can we say that our patient was misdiagnosed? -

i am a nursing student and we re doing a case study on preeclampsia. while studying about it, i ve read that to have preeclampsia, u have to have hypertension and proteinuria. but our client has only hypertension, but no proteinuria. but whats written on the doctor s diagnosis is preeclampsia. we have submitted our paper and while the defense is still 2 weeks from now, some professors are questioning now why we proceeded with the study when we know that the patient is not a candidate for preeclampsia. i know they will ask this again on the defense day.how and what should i,as a leader, answer? pls help.

As a former nursing student myself, you cannot be that blatant and say that doctors quot;misdiagnosedquot; the patient. You can, however, say that you FEEL the doctors may have jumped at this too soon and MAYBE they should have looked into it more. You have to be very careful about saying anyone misdiagnosed a patient. That could be a lawsuit just waiting to happen. I say you have a helluva case with this, as it is definite that by saying a patient is pre-eclampsia they have to have both symptoms. I feel you ll do okay with this case study, but just don t say that you quot;KNOWquot; that it was a misdiagnosis, but kinda dance around the subject. Good luck girl and WTG on catching this..

Preeclampsia is diagnosed when at least 2 out of these 3 are present: Hypertension, proteinuria and edema feet. Even if there was no proteinuria, may be edema was present along with hypertension.

This is a wonderful thing for you to deal with before getting out in the real world! I have been a nurse for several years. Never take an admitting diagnosis as absolutely definative; it may well be that the diagnosis is the what the admitting MD suspects, but requires further testing to ascertain for certainty. Even when the diagnosis has been ruled out, those admitting diagnoses seem to hang on for dear life until a human being takes responsibility to see to it that the diagnosis gets changed (by attending s order / in the computer / on the kardex / on the MAR / billing / etc.). For that reason, I think it is likely that the woman was not misdiagnosed so much as that her chart had not been properly updated. Having a written diagnosis is a wonderful guide as to what to watch for, but for your client s sake, NEVER to have it close your eyes to symptoms that don t quot;fitquot; the diagnosis. And you can t pass this off to your instructors as preeclampsia; they will see right through you. But you will do well to present this case as a quot;rule out preeclampsiaquot; by showing how this client did not fit the diagnosis. Make your instructors very happy by explaining how you would follow up with this client (discharge teaching, change in symptoms / labs to continue to monitor for possible development of preeclampsia down the road). Good luck to you, and welcome to nursing!

Hypertension Help...? -

I was just told I had high blood pressure. What are some diets/ foods that would get my blood pressure under control? My average Systolic is around 130-140 and my Diastolic is usually 95-120. And I m 12, if that matters.

You need to check out the DASH diet. its specific to cardiac issues

First of all--- your doctor needs to check this several times to confirm that you have high blood pressure. One time readings aren t accurate- you may be under unusual stress at that time, for example. Are you overweight? If so, you should start a diet and exercise plan now before it s too late. Even if you aren t overweight, exercising can help lower blood pressure. Cut down on greasy, salty foods. Eat oatmeal or a whole-grain/oat cereal in the morning or for a snack.

It s very unusual for a 12 year old to have hypertension. Are you overweight and/or inactive? I had hypertension when I was young and overweight. I started exercising regularly and within a few months it was back to normal. That s really the key to maintaing a healthy bp. A big thing about your diet is salt. Avoid soft drinks, even diet ones, because they have tons of salt in them. Always check labels, sometimes you can be surprised about the salt content. drink plenty of water, that is very important. You should eat plenty of fresh vegetables and make sure you get a lot of calcium. Avoid sugar, that can be a problem too.

less salt is key. hypertension is a main result from consuming too much salt. have foods with less salt and drink a lot of water. also, try to relax and put less pressure and tension on yourself mentally. good luck.

Try this website - you want to try to control it instead of taking medication!

try this product: KAMANGI it did helped my father about his hypertension. for more info try to visit their website

Effects of smoking and hypertension at blood vessels and cellular level? -

Hello Can anyone tell me the link between smoking and hypertension at a cellular and blood vessel level? how does smoking cause a change in hypertension? dont need to know about the links to cancer etc. thankyou.

Smoking causes BP to raise temporarily. Long term it increases BP due to the hardening of the vessels due to lining problems and plaque buildup. Smoking can lead to the build-up of plaque that clogs the blood vessels that supply the heart with blood. A smoker s risk of heart attack is double that of non-smokers. However the report also found that quitting smoking can eventually repair the damage done by smoking. When you smoke, you take in carbon monoxide. This decreases the amount of oxygen your heart, brain, and other vital organs receive. Smoking constricts blood vessels. Smoking damages the linings of blood vessels. Smoking temporarily raises blood pressure.

in simple words if u want to live happily for the life u have...stop smoking and u will leave diseases at miles away...

Is that it true that apricots are good for hypertension? -

So far, research has shown that potassium does lower blood pressure. Studies have not indicated that calcium and magnesium supplements prevent high blood pressure. Here s the latest: Potassium helps to prevent and control blood pressure. Be sure to get enough potassium in the foods you eat. Some good sources are various fruits, vegetables, dairy foods, and fish. Foods High in Potassium Food Serving Size Potassium (mg) Apricots, dried 10 halves 407 Avocados, raw 1 ounce 180 Bananas, raw 1 cup 594 Beets, cooked 1 cup 519 Brussel sprouts, cooked 1 cup 504 Cantaloupe 1 cup 494 Dates, dry 5 dates 271 Figs, dry 2 figs 271 Kiwi fruit, raw 1 medium 252 Lima beans 1 cup 955 Melons, honeydew 1 cup 461 Milk, fat free or skim 1 cup 407 Nectarines 1 nectarine 288 Orange juice 1 cup 496 Oranges 1 orange 237 Pears (fresh) 1 pear 208 Peanuts dry roasted, without salt 1 ounce 187 Potatoes, baked, flesh and skin 1 potato 1081 Prune juice 1 cup 707 Prunes, dried 1 cup 828 Raisins 1 cup 1089 Spinach, cooked 1 cup 839 Tomato products, canned, sauce 1 cup 909 Winter squash 1 cup 896 Yogurt plain, skim milk 8 ounces 579

Yes, they are.

Yes, and flaxseed oil is good too.

Yes apricots are good for high blood pressure. Here are some other recommendations for lowering blood pressure... There is increasing evidence that salt is not the true culprit in high blood pressure, but rather deficiencies of key minerals (primarily magnesium, POTASSIUM, and calcium) resulting from a highly processed diet. Those who maintain high intakes of calcium and magnesium through a well-balanced diet tend to experience lower blood pressure. A salt-laden diet is a tell-tale sign of a poor, nutritionally deficient, processed diet—a factor that is more likely the cause of high blood pressure. Common sense prevails when it comes to salt. Follow a diet that contains whole and unprocessed foods that are naturally low in salt. By eliminating processed foods from your diet, you’ll automatically reduce your salt intake, while also increasing the nutritional content of your foods.1 Dietary recommendations for high blood pressure: * Eat foods rich in magnesium, such as pumpkin seeds, spinach, chard, sunflower seeds, and navy beans.2 Studies have shown that an adequate intake of magnesium may help lower blood pressure.3 Read the National Institutes of Health Report about magnesium. * Switch from table salt to Himalayan Crystal salt. Unlike table salt, Himalayan crystal salt contains 84 minerals and trace elements, which are essential for optimal health and mineral balance. High blood pressure can be caused by an imbalance of potassium, calcium, and magnesium. * Choose high-quality, organic, hormone- and antibiotic-free “grass-fed” meats. * Increase your omega-3 essential fatty acids by selecting high-quality wild fish, and fish oil. * Add high-quality fiber to your diet, such as ground flax meal. Increasing the amount of fiber in your diet helps regulate blood pressure and may help counteract the constipation frequently associated with taking blood pressure medications. * Add healthy saturated fats to your diet, such as extra virgin organic coconut oil. Read more about good fats and bad fats. * Choose sprouted whole grain products. * Choose organic, cage-free eggs. * Choose unpasteurized, raw dairy items that have live, active cultures (probiotics), such as yogurt and kefir. * Drink room-temperature purified water throughout the day. From http://www.jigsawhealth.com/articles/hig...

Anemia and hypertension usually go along with renal insufficiency. If you are having antihypertensive medicati -

Anemia and hypertension usually go along with renal insufficiency. If you are having antihypertensive medication it should be one of the ones that a) protect the kidney and b) prevent/reverse cardiac remodelling. The ACE inhibitors and angiotensin II antagonists have shown these effects where other antihypertensive drugs have not.

so whats the question.

yeah, what are you asking?

Left ventricular hypertrophy with some pulmonary hypertension? -

My dad was just diagnosed with this. He s only 43 and is in decent shape. He is also hypoglycemic and will have diabetes someday. His family doctor did the echo thingie just as a precaution when he was having a hard time breathing sometimes. He isn t feeling horrible, just sometimes he falls asleep when he gets home and it s hours before he gets up. He and my mom said the family doctor told him to just eat better and start exercising regularly and they gave him a inhaler called Advair. But I m wondering if this enough. Shouldn t he get to a specialist or is this something that really is just controlled by diet and exercise?

The two things that come to mind immediately upon seeing your original question are - poorly controlled high blood pressure and sleep apnea - which often go hand-in-hand. In reading the rest of your question, it further confirms my sleep apnea suspicion. LVH is a response of the myocardium to the stress of having to push against elevated pressures over time. So if your Dad says his pressure are always quot;normalquot; this is unlikely to be true...there is objective evidence to the contrary. Additionally it is possible that the pressures are relatively normal during the day and high over night when he is experiencing apenic episodes. Two things - I would ask to be referred for a sleep study to get the apnea issue addresses...its more than just day time tiredness. It can cause long term changes in your heart and lungs that are not reversible...including heart arrhythmias. It is important to get a diagnosis and treatment. Secondly, consider investing in a home blood pressure cuff. Check the b/p several times throughout the day for a week and keep a journal. Bring the journal into his primary doctor. If he is experiencing pressures greater than 140 (on top) then it may be important for him to be treated with medication. What if he does nothing? Its a big question but the problem I would be most concerned about is a condition called diastolic dysfunction. It is a form of congestive failure that tends to show up in people s 60 s and older. It can be rather debilitating and cause a good deal of shortness of breath. Is there anything about this that should make your Dad run to a cardiologist?....from what you ve said, no. There are some issues that can be easily handled by a primary doctor. Other than that, not too alarming. I hope this helps. Good luck.

Thanks for the vote. Good luck. Report Abuse

Get your dad to a cardiologist. My father in law was diagnosed with asthma about 5 years ago. Turned out it wasn t his lungs after all. It was his heart. He needed bypass surgery. He was misdiagnosed by his family doctor. I m not saying this is the case with your father. But, a second opinion never hurts. It s better to be safe than sorry.

yeah babe, your dad needs to go to a cardiologist, quickly. left vent hypertrophy with pulmonary htn is getting real close to left sided heart failure. diet and exercise are important but i think he needs to get on some meds. perhaps some lasix and maybe digoxin. hows his cholesterol and blood pressure? these are really important to look at. there is an underlying cause to his LVH and pulmonary HTN that needs to be treated. with pulmonary HTN he may need to be on a continuous positive airway pressure while hes asleep to keep his lungs open. pulmonary htn is bad news.

I have a friend who was diagnosed with Primary Pulmonary Hypertension. It is caused by the left lung not supplying oxygen to the heart, making the heart work overtime. It would be wise if your father was checked out by a cardiologist. PPH is difficult to diagnose unless you have a Dr. that is familiar with this disease. Shortness of breath from just walking down the street was one of her symptoms. The sleepiness is brought about by the lack of oxygen in the body.

Whats the connection of hypoglycemia, Chronic Kidney Dse stage 4, and hypertension type II? -

Hypertension type II is a result of another condtion. With the chronic kidney disease, the body isn t removing the fluids and wastes from the body effectively. The buildup of fluids results in high blood pressure. As far as the hypoglycemia, kidney failure causes hypoglycemia in 3 separate ways. The kidneys help in generating new glucose from amino acids, and this is impaired in kidney failure. Also, insulin circulates for a longer period of time and is cleared slowly when kidney function is poor. The third important reason is that kidney failure causes one s appetite to be poor. So, there is your link.