June 17, 2012
Vitals: BP 75/50, Temp: 37.7, O2Sat: 97, HR: 69, RR: 22
HOMECARE ESSENTIALS 9: PROPER BLOOD PRESSURE MONITORING AND CONTROL
Today is one of the most difficult days. Melit is obviously suffering and it shows in her vital signs. We always thought we will have problems with her being hypertensive, that is why there are two maintenance tablets for her, but dealing with hypotensive is a different matter altogether.
My father died of asthma and lung complications; my mother died of a major stroke, my brother died of cardiac arrest after several cases of stroke as well. Cardiopulmonary diseases run in our veins. We sort of figured that out. So, taking care of Melit’s blood pressure is de-facto an essential element.
Comatose patients do still have blood circulating in their bodies.
This is what we have originally planned:
- Regular BP and heart rate monitoring.
- Daily dose of a combination of Telmisartan and Atenolol to keep her BP in check.
- Regular exercises such as range of motion to keep her blood active and improve her circulation.
- Improved nutrition to keep heart healthy.
- Regular fluid intake to maintain the volume of her blood.
Unfortunately, we were not ready for Hypotensive condition. Melit’s blood pressure dropped so low, it stays at the 80/50 levels for a day.
We had to ask several nurse friends as well as consult Google what to do, and these include:
- Stopping both Telmisartan and Atenolol
- Elevating her feet.
THIS WE HAVE LEARNED ALONG THE WAY:
When you dispose the suction canister for several days and the color of the fluid is very red because of the blood, that is a significant blood loss already. Add to the fact that Melit was dehydrated, that should have been a warning signal.