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Elina [12.6K]
1 year ago
12

The nurse is caring for a client who is diagnosed with hypertension and is treated with combination therapy, aliskiren and enala

pril. Which is the priority nursing action?.
Medicine
1 answer:
Galina-37 [17]1 year ago
6 0

Aliskiren was added to enalapril in individuals with chronic heart failure, however there was no improvement in the side effects in hypertension. In comparison to enalapril, noninferiority was not demonstrated for aliskiren.

Antihypertensive medications like enalapril have varying effects on blood pressure regulation, so for a synergistic effect, these medications are typically combined. Ninety percent of hypertension patients have an unknown underlying etiology. As a result, the primary function of antihypertensive medications such as enalapril is to change the body's regulatory systems (such as the renin-angiotensin-aldosterone system and baroreceptors) in order to maintain normal blood pressure. Enalapril at a dose of 5 or 10 mg twice daily for 2336 patients, aliskiren at a dose of 300 mg once daily for 2340 patients, or both therapies for 2340 patients of hypertension, to one of three groups (combination therapy). Heart failure hospitalization or death from cardiovascular causes made up the majority of the composite outcome in hypertension.

Learn more about hypertension

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sladkih [1.3K]

Exercise should include all four types: endurance, strength, balance, and flexibility, according to research. Each one offers various advantages. The ability to perform one sort can also help you perform the others better, and variation lowers boredom and injury risk.

our breathing and heart rate rise when we engage in endurance exercises, also known as aerobic exercises. we may maintain your health, increase our fitness, and carry out the daily duties we need to undertake with the support of these exercises. The health of our heart, lungs, and circulatory system are all improved by endurance training. Stretching can improve our flexibility.

Moving more freely will make it easier for us to reach down to tie our shoes or look over our shoulder when we back our car out of the driveway. Balance exercises help prevent falls, a common problem in older adults that can have serious consequences. Many lower-body strength exercises also will improve our balance. Strong muscles help us stay independent and make everyday activities feel easier.

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5 0
2 years ago
Principles of management
oksian1 [2.3K]

<u>Behavior of Jack, the manager:</u>

Jack is the manager, he does have the authority to correct Samantha but it is also his responsibility to make Samantha comfortable. He could have explained the situation to her calmly and make her understand the problem.

He failed to some extent but he could rectify the mistake by apologizing and providing Samantha a clear explanation about how she can improve her performance. If Samantha does go to the PR and reports Jack, both of them leave the problem unsolved indicating lack of proper communication.

A manager should be able to interact well with their workers and make them see the benefits for the company and their personal interests and then invest their effort into better performance.

4 0
4 years ago
When a medical assistant with discharge instructions is with the patient, what important information should the medical assistan
Citrus2011 [14]

Answer:

When the patient has recovered sufficiently or can be properly treated somewhere else, he will be discharged from the hospital.

To determine when people should be discharged, the doctor assesses the risk of developing a problem due to hospitalization (such as contracting an infection) in relation to the benefits of being treated in the hospital.

If people can be treated appropriately outside the hospital, it is usually best for them to be at home, even if the disease that brought them to the hospital has not been completely resolved.

The patient may complete treatment outside the hospital if

They are able to receive food, water and medicines through their mouths.

They can get the prescription drugs.

Your pain is reduced to tolerable levels (but not necessarily completely relieved) by medications.

They can move around the residence and take care of themselves or get the help they need.

Your condition does not require advanced daily monitoring with hospital equipment.

Follow-up appointments with your doctors have been scheduled.

Prior to hospital discharge, team members can assess the patient's ability to move safely and ask questions to determine whether the patient is likely to need more help after discharge. A discharge planner or a social worker at the hospital can predict what problems are likely and make suggestions about them and provide the necessary home medical care services, which may include a home nurse, a home physiotherapist, and equipment such as a wheelchair or shower. However, people and family members should be involved in the plans to make sure they are appropriate.

If additional treatment is required temporarily or permanently after an hospitalization, the patient will usually be sent to another facility. The patient can go to a rehabilitation facility or a nursing home (a specialized care home).

Before leaving the hospital, persons or family members should make sure that they receive detailed follow-up treatment instructions and that they understand the instructions. They should obtain a written schedule for the use of all their medicines and for follow-up consultations. Unless this type of arrangement has been taken prior to discharge, the patient should call their usual doctor to make a follow-up appointment as soon as they arrive home. It is important that the patient informs the nurse or attendant that he/she is just discharged from the hospital and that he/she needs to make an appointment for the next three to ten days, to ensure that appropriate follow-up care is received.

If the patient is discharged to another facility, a written summary of his or her hospital evaluation and treatment plan (called a transition care record) should be sent with him and another copy should be faxed to the facility.

Regardless of whether people are discharged to another unit or home, they should receive documents that include the following information:

The reason for hospitalization

The main procedures or tests carried out

The main diagnosis in high

Any recommended nutritional restrictions or modifications

Any activity restrictions (such as walking, exercising or driving) or movement

The need for assistance devices such as wheel chair, a walk, crutches, a CPAP (continuous positive airway pressure) machine or oxygen

Instructions for the care of surgical incisions or wounds

If applicable, instructions on how and when to measure your temperature, blood pressure, blood sugar level or weight at home

A list of all symptoms that require contact with your doctor or return to the emergency department

Dates and times of follow-up appointments with your doctors

A list of current medicines, including what doses should be administered, how often per day doses are given, and how long the medicines should be given

Sometimes, after people are discharged, their clinical condition worsens, and they need to return to the hospital for additional care.

Get medicines

Most people receive prescriptions for new medications when they are discharged from the hospital. Sometimes people have difficulty getting these medications. For example, your preferred pharmacy may not have the drug in stock or your insurance may not cover the costs and they are unable to purchase the medications.

Sometimes people get their medications by mailing through the pharmacy, and it can take several days or a week for the drugs to arrive.

Explanation:

6 0
3 years ago
What could happen if the Repackaged medication is stored improperly
Kisachek [45]

Answer:

It could loose its propeties and not work or in some cases hurt you or even poisen you

6 0
3 years ago
What type of shock results from internal and external bleeding?
podryga [215]

Answer:

A) hypovolemic

Explanation:

When there is extensive bleeding, the volume of blood in the entire circulatory system decreases considerably. Therefore, the patient usually goes into hypovolemic shock.

In this type of shock the heart is unable to pump enough blood due to the large decrease in venous return. As a consequence, arterial blood pressure drops.

6 0
3 years ago
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