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What are the cuases of hypertension in postop patient especially in mastectomy? |
the patient is just returned from the the recovery room following a right radical mastectomy. has a history of metastatic breast cancer and a left mastectomy. has a history of type 2 diabetes mellitus(non insulin dependent) which is managed with oral hypoglycaemic. has a history of hypertension and managed with antihypertensives so wht are potential implication for patient's hypertension? wht could be causing patient's BP high and why? and the management of hypertension Did she stop taking her hypertensive meds right before surgery? Patients are kept "nothing by mouth" prior to surgery, so depending on whether or not her doctor ordered intravenous blood pressure medications, she may not have had her medication. Or she could be in pain. Acute pain causes a rise in the blood pressure. The most logical cause of her high blood pressure after surgery for a known hypertensive patient is pain. The other cause I can think of is that since the patient was put on fasting prior to the procedure and was not given anti-hypertensive medication. If patient is in pain, ask the doctor to give the patient pain relievers. If the patiet is already allow to take anything orally, ask the doctor if the patient can take her medications and if not, ask the doctor if something can be given to the patient through the IV to lower the patient's BP. fluid volume overload in the OR |
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