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3. Patient C: hip replacement
The risk of orthostatic hypotension increases with the amount of time a patient stays immobile. The person who had a hip replacement and had to stay in bed for 90 days would therefore be most at risk for orthostatic hypotension.
Orthostatic hypotension- When we rise up from a supine (lying down) position, we experience orthostatic hypotension, or a drop in blood pressure. Since the name "orthostasis" indicates standing up, it is defined as low blood pressure (hypotension) that occurs when a person stands up.
Some of the pathophysiological causes of OH include the dependent pooling of blood in organs and the periphery, poor venous return, stroke volume, and changes in cardiac and baroreceptor function.
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Q. The nurse is reviewing the data of patients who have undergone surgery. Which patient would be at the highest risk of orthostatic hypotension based on the given data?
1. Patient A: appendectomy
2. Patient B: lobotomy
3. Patient C: hip replacement
4. Patient D: bypass surgery
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