Research Analysis
Compare hypotension, hypertension, and hypotensive shock in the following areas: clinical manifestations, risk factors, differentials, diagnosis, and management/treatment recommendations. Next answer these questions:
What are the transmission and pathophysiology of the conditions?
What are the primary medical concerns for patients with these conditions?
What might be the primary psychosocial concerns for patients with these conditions?
What are the implications of these conditions for critical care and advanced practice nurses?
Sample Solution
Comparison of Hypotension, Hypertension, and Hypotensive Shock
Characteristic | Hypotension | Hypertension | Hypotensive Shock |
---|---|---|---|
Clinical Manifestations | Dizziness, lightheadedness, fainting, fatigue, weakness, blurred vision, pallor, cool and clammy skin, tachycardia, tachypnea | Headache, epistaxis, dizziness, blurred vision, tinnitus, fatigue, dyspnea on exertion, chest pain | Confusion, altered mental status, anxiety, restlessness, tachycardia, tachypnea, hypotension (systolic blood pressure <90 mmHg), oliguria, anuria |
Risk Factors | Dehydration, blood loss, heart failure, sepsis, medication side effects, endocrine disorders, neurological disorders | Genetics, diet high in sodium and saturated fat, lack of exercise, obesity, smoking, alcohol abuse, chronic kidney disease | Severe blood loss, sepsis, cardiogenic shock, anaphylaxis, severe allergic reactions |
Differentials | Orthostatic hypotension, syncope, hypovolemia, sepsis, anaphylaxis, cardiac arrhythmias, neurological disorders | Secondary hypertension, such as Cushing's syndrome, pheochromocytoma, renal artery stenosis | Cardiogenic shock, distributive shock, hypovolemic shock |
Diagnosis | Physical exam, vital signs, blood tests, imaging tests, such as echocardiogram or stress test | Physical exam, vital signs, blood tests, urine tests, imaging tests, such as renal ultrasound or CT scan | Physical exam, vital signs, blood tests, urine tests, culture and sensitivity tests, imaging tests, such as chest X-ray or echocardiogram |
Management/Treatment Recommendations | Identify and treat the underlying cause, fluid resuscitation, vasopressors, inotropes, monitor vital signs and fluid balance | Lifestyle changes, such as diet, exercise, and weight loss, antihypertensive medications | Fluid resuscitation, vasopressors, inotropes, monitor vital signs and fluid balance, treat the underlying cause |
Full Answer Section
A perceptual map is a visual representation of how consumers perceive different brands or products in the marketplace. It is created by identifying two or more key attributes that are important to consumers when making a purchase decision, and then plotting the different brands or products on the map based on their perceived position on those attributes. Perceptual maps can be used in a variety of ways in healthcare marketing. For example, they can be used to:- Identify market opportunities: By understanding how consumers perceive different healthcare providers, marketers can identify gaps in the market where they can develop new products or services.
- Develop competitive strategies: By understanding how consumers perceive their brand relative to the competition, marketers can develop strategies to differentiate their brand and position it favorably in the marketplace.
- Hypovolemia (low blood volume)
- Vasodilation (widening of blood vessels)
- Cardiogenic shock (failure of the heart to pump enough blood)
- Sepsis (severe infection)
- Medications (such as diuretics, beta-blockers, and vasodilators)
- Endocrine disorders (such as Addison's disease and hypothyroidism)
- Neurological disorders (such as autonomic dysreflexia)
- Family history of hypertension
- Diet high in sodium and saturated fat
- Lack of exercise
- Obesity
- Smoking
- Alcohol abuse
- Chronic kidney disease
- Severe blood loss
- Sepsis
- Cardiogenic shock
- Anaphylaxis (severe allergic reaction)
- Severe dehydration
- Burns
- Organ damage due to decreased blood flow and oxygen delivery
- Syncope (fainting)
- Falls and other injuries
- Death
- Heart attack
- Stroke
- Kidney failure
- Heart failure
- Dementia
- Organ damage due to decreased blood flow and oxygen delivery
- Death
- Anxiety
- Fear
- Embarrassment
- Social isolation
- Depression
- Anxiety
- Fear
- Anger
- Frustration
- Guilt
- Anxiety
- Fear
- Confusion
- Hopelessness
- Depression
- Assessing the patient's condition and identifying the underlying cause
- Initiating and monitoring appropriate treatment