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Pelvic Fracture, Hypo-tension. Taking Diuretic Furosemide, Beta Blocker Metoprolol And Vasodilator Minoxidil. Sufficient?
For a patient case study assignment: 55 y/o male, with HTN, who takes diuretic furosemide, Beta blocker Metoprolol, and vasodilator Minoxidil, suffered a stable R pelvic fracture (internal fixation not required), on bedrest for 2 days, and can now start aquatic therapy to allow gradual increase in wt. bearing. Pool temperature kept at 95*F. Heart rate & blood pressure monitored at frequent intervals while in the pool, with hypotension occurring when pt. exited the pool. 1) why is hypotension occurring? 2) how can hypotensive episodes after aquatic treatment be prevented?
posted on
Tue, 9 Apr 2013
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Tue, 9 Apr 2013
Answered on
Wed, 10 Apr 2013
Last reviewed on
Hi,
Even though internal fixations are not needed, depending on the level and extend of fracture (you have not mentioned) needs de rotation ankle pop and complete bed rest for a minimum period 2 mths
After a repeat X-ray accessing the union, if it is OK, slow weight bearing with a walker is allowed.
Aquatic therapy will not help for bone union. Bone union can occur only because of calcium deposit at the site of injury for which rest is rest is a must. Complete wt. bearing after consulting Orthopedic surgeon.
Hypo tension may due to exhaustion due to the wrong advise of aquatic treatment.
advice the patient to have a ethical medical management.
Best wishes
Even though internal fixations are not needed, depending on the level and extend of fracture (you have not mentioned) needs de rotation ankle pop and complete bed rest for a minimum period 2 mths
After a repeat X-ray accessing the union, if it is OK, slow weight bearing with a walker is allowed.
Aquatic therapy will not help for bone union. Bone union can occur only because of calcium deposit at the site of injury for which rest is rest is a must. Complete wt. bearing after consulting Orthopedic surgeon.
Hypo tension may due to exhaustion due to the wrong advise of aquatic treatment.
advice the patient to have a ethical medical management.
Best wishes
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