hypertension and surgical patients

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I'm doing a care plan paper for my nursing class. I am doing it on a 79 yr old female who was admitted with a parastomal hernia. They closed off the stoma on the left side and made a new one on the right side. Only other medical problem she has at this time is hypertension which she had prior to surgery. They are controlling it with Diovan (valsartan) an angiotension II receptor antagonist.

My question is....Besides the possible interactions with anesthesia and hypertension medications, possible hypotension, is there any other problems I should address on my paper regarding how hypertension can impact the client at this time.

Will it slow down healing because of possible circulation problems? and how?

Thanks for any help you can give me

Debblynn

mitchsmom

1,907 Posts

Specializes in OB, lactation.

I can't comment on healing or anything, but you may want to comment on pain relief drugs postop (if you aren't already) & their potential interactions w/ the pain meds &/or her age - like demerol & some other narcotics aren't usually given to older pts, etc. or at least are given in lower amounts b/c of side effects on vitals.

edited... oops, duh.. I didn't realize you were looking for nursing diagnoses per se :)

Mithrah

262 Posts

Pain, acute

Nausea rt GI distention and medication or anesthesia effects

Risk for infection rt surgical incision

ineffective airway clearance rt ineffective cough and tenacious secretions

Anxiety

Constipation rt decreased physical activity and drugs

Mithrah

262 Posts

Body image disturbance

Knowledge deficit

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