1 / 19

Hypertension in Spinal Cord Patients

Hypertension in Spinal Cord Patients. Rebecca Linstead. Hypertension is…. Systolic BP > 140 mmHg OR Diastolic BP > 90 mmHg. Regulation of Blood Pressure. Baroreceptor Reflex. One Significant Difference in SCI…. Autonomic Dysreflexia. Parasympathetic. S ympathetic. Etiology.

truman
Télécharger la présentation

Hypertension in Spinal Cord Patients

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Hypertension in Spinal Cord Patients Rebecca Linstead

  2. Hypertension is… Systolic BP > 140 mmHg OR Diastolic BP > 90 mmHg

  3. Regulation of Blood Pressure Baroreceptor Reflex

  4. One Significant Difference in SCI…

  5. Autonomic Dysreflexia Parasympathetic Sympathetic

  6. Etiology

  7. What to watch for… • Sweating above the level of injury • Hypertension • Nausea • Cold, clammy skin below the level of injury • Goose bumps • Blotching of the skin

  8. Emerging Research:Testing an alternative mineral salt • Inclusions/Exclusions • Methods • Results VS

  9. Emerging Research …

  10. Emerging Research …

  11. Emerging Research:Protein Supplementation • Inclusions • Methods • Results VS

  12. Emerging Research …

  13. MNT for Hypertension • Potassium • Magnesium • Fruits/veggies • Lean meats • Healthy fats • Whole grains • Highly processed meats and cheeses • High sugar foods • Sedentary lifestyle

  14. Special Considerations Lose excess weight Adequate fluid intake Smoking cessation

  15. B.B. – 75 y/o WM • Diagnoses: atherosclerosis of extremities with gangrene, pressure ulcers, GERD, DB, Autonomic Dysreflexia, HTN, hyperlipidemia • Admitted June 2013 for worsening pressure ulcers • Allergies: Amikacin, hydrochlorothiazide • Current medications: • Laxative/Stool softener : Docusate • Antihypertensive: Metoprolol • DB regimen: SSI, 6 units @ bedtime, 16 units every morning • Vitamin D2: ergocalciferol • Bowel training 3x/week

  16. B.B. • Currently on a 2200 CHO diabetic diet • Supplements include 1 Prostate with each meal (discontinued Boost Glucose Control 10/24) • Main concern: maintain blood sugars <180 and heal pressure ulcers

  17. References http://apbrwww5.apsu.edu/thompsonj/Anatomy%20&%20Physiology/2020/2020%20Exam%20Reviews/Exam%201/CH19%20Blood%20Pressure.htm http://betterthandormfood.com/2012/02/do-you-really-need-8-cups-of-water-per-day/ http://www.spinalcordinjury-paralysis.org/heartandnerve/2012/07/31/foodie-fest http://www.studyblue.com/notes/note/n/spinal-cord-injuries/deck/5449625 http://eprimarycare.onf.org/AutonomicDysreflexia.html http://users.rcn.com/jkimball.ma.ultranet/BiologyPages/P/PNS.html http://pvamag.com/pn/article/5039/autonomic_dysreflexia_an_emergency_situation http://hyper.ahajournals.org/content/55/3/636.full http://www.spinal-injury.net/autonomic-dysreflexia.htm http://www.ninds.nih.gov/disorders/sci/detail_sci.htm

  18. References Teunissen-Beekman KF, Dopheide J, Geleijnse JM, Bakker SJ, Brink EJ, de Leeuw PW, van BaakMA. Protein supplementation lowers blood pressure in overweight adults: effect of dietary proteins on blood pressure (PROPRES), a randomized trial. Am J ClinNutr. 2012 Apr;95(4):966-71 Sarkkinen ES, Kastarinen MJ, Niskanen TH, Karjalainen PH, Venäläinen TM, Udani JK, Niskanen LK. Feasibility and antihypertensive effect of replacing regular salt with mineral salt -rich in magnesium and potassium- in subjects with mildly elevated blood pressure. Nutr J. 2011 Sep 2;10:88. doi: 10.1186/1475-2891-10-88.

  19. Questions?

More Related