Post Orthostatic Tachycardia Syndrome (POTS)

From the time we are born till the time we die there is a muscle inside of us that is the root of our existence, it’s a muscle so dominant that we can actually hear and feel it throughout our growth, daily activities, and emotions of our everyday life.

The authors then share their analysis on the changes of heart rate and GSR at the many different points throughout their study.

Patient complained she was short of breath and experiencing severe pain between her shoulder blades. She stated that she has been feeling nasuseated for the past 3 hours. She states she has a history of stable angina and is currently taking medication as needed. She states she did not take the nitroglycerin because she was not experiencing chest pain, just back pain. She states that her last check-up with the Pulmonologist showed that her EKG did not show any changes since her last visit. She denies episodes of syncope. The patient does report that she tripped over something on the floor, which resulted in her falling and hitting her back on a large table. In addition, she states that her heart rate has been ranging from 130/ 90 to 140/92. Patient states her Primary care physician placed her on blood pressure medication 2 months ago due to the increase.

Tachycardia: Tachycardia typically refers to a heart rate that exceeds the normal range for a resting heart rate. When the heart beats rapidly, the heart pumps less efficiently and provides less blood flow to the body and the heart. The rapid heartbeat increases the workload and oxygen demand of the heart. Problems will occur with the heart as tachycardia persists over time. The heart is maintaining less oxygen, which will lead to an MI due to death of the myocardial cells. Patient will start to have angina because of this. Tachycardia is noted in many diseases and disorder like: fever endocarditis, anemia, HTN, pericarditis, abnormal heart impulses, anxiety, older age, sleep apnea, COPD, electrolyte imbalances, and many more.

In transport, patient received O2 at 4 liters via nasal cannula, baseline EKG, Normal Saline IV started in left hand, 325 mg aspirin by mouth (po). Patient complained she was short of breath and experiencing severe pain between her shoulder blades. She stated that she has been feeling nasuseated for the past 3 hours. She states she has a history of stable angina and is currently taking medication as needed. She states she did not take the nitroglycerin because she was not experiencing chest pain, just back pain. She states that her last check-up with the Pulmonologist showed that her EKG did not show any changes since her last visit. She denies episodes of syncope. The patient does report that she tripped over something on the floor, which resulted in her falling and hitting her back on a large table. In addition, she states that her heart rate has been ranging from 130/ 90 to 140/92. Patient states her Primary care physician placed her on blood pressure medication 2 months ago due to the increase.

An untrained 22-year-old male human subject was chosen. A PT-104 pulse plethysmograph was wrapped around his dominant (right) index finger. Connected through a IXTA data acquisition unit, heart rate was monitored on LabScribe. The recordings were measured with ten seconds of leeway at the beginning and end to allow baseline pulse recovery. Digital marks labeled the time interval of the described action. First the subject’s heart rate was measured during a resting phase for twenty seconds. He was encouraged to relax and remain inactive in order to confirm an accurate baseline reading. For the apneic condition, the subject repeated this

Table 2. This table shows the recording of the amplitude, period, and BPMs for the ventricular contractions before and the effects of the Warm Ringer’s after.

Cardioversion. During this procedure medicines or an electrical shock are given to make the heart beat normally.

Turing and repositioning will avoid pressure from being exerted on one spot for too long (Miles, Nowicki, and Fulbrook, 2013). The nurse will also implement safety measures to prevent falling such as keeping the bed in the lowest position and hourly rounding (Crawford and Harris, 2016). The last priority nursing intervention for this patient is to get a set of vital signs before and after physical activity and prevent orthostatic hypotension. The patient can prevent orthostatic hypotension by adequate fluid intake, slow position changes and dangling the feet off the side of the bed before standing up (L. Schimke, J. Schimke,

First the client will weigh himself daily, so that fluctuation in the amount of fluid can be detected quickly. Any major shifts in weight should be reported to the physician and adjustments to the medical regimen can be addressed. Since rapid heart rate is sign of an acute exacerbation, the client should also monitor his blood pressure and heart rate on a daily basis. He should be encouraged to consume a balanced diet that is low in sodium. Adhering to these dietary restrictions will help control his weight and reduce the amount of fluid that may be retained due to sodium

I now know that the hypotension is caused by vasodilatation because the sympathetic nerves that control tone are blocked. Peripheral

Follow a systematic palpate the sternoclavicular, aortic, pulmonic, tricuspid and epigastric areas using a systematic sequence. Using the ball of hand find the apical pulse then tips of finger over the precordium. Note abnormal finding such as heaves, thrills and fine vibration (purring cat). Palpate the other arterial pulses by pressing with the pads of your index and middle finger. Start at the temporal artery and work down to the dorsalis pedis pulse. Abnormal finding such week pulse could be due to cold weather or can indicate sever heart failure or peripheral vascular disease. Strong or bounding pulsations usually occur in a patient with a condition that causes increased cardiac output, such as hypertension, hypoxia, anemia, exercise, or anxiety. A thrill usually suggests a valvular dysfunction.

Objective Data Provided: Objective Needed: In Italics 5’8”, 105lbs, Temp, BP looking for hypotension, Pulse looking for bradycardia, RR, mental status exam- appearance, attitude toward

The woozy feeling when standing up too quickly. After going for a run, feeling as if one more beat and the heart would project itself out of the chest. Or quite the opposite and being in a very relaxed state. These are all changes one experiences at some time or another. What causes the different feelings and how each variable affects pulse rate and blood pressure has many wondering. Because of this curiosity, an experiment was performed to get some answers.

We decided to measure the subject’s pulse and respiratory rates whilst sitting down because there would be no additional stress on their heart, which would increase their heart rate. Their heart rate should also return to its resting heart rate due to the decrease of muscle use.