Geriatric Cardiovascular Changes:
Dysrhythmias – decreased output can result in falls, syncope or TIAs
Cardiac output decreases due to decrease rate and stroke volume
Diastolic murmurs – thickened mitral and aortic valves
Changes in systolic BP due to increased peripheral resistence
Arteriosclerosis

Signs & Symptoms
Dizziness, blackouts – sudden position change (orthostatic hypotension)
Diuresis after laying down
Feelings of heart palpitations
Swelling in hands and feet
Weight gain without changes in eating habits
Difficulty breathing at night
Confusion

*These can lead to activity intolerance, ineffective tissue perfusion, acute and chronic pain, decreased cardiac output

Interventions include:
Monitor BP lying, sitting, and standing, encourage changing positions slowly
Encourage low impact exercise, teach to avoid fatigue, frequent rest periods
Compare apical and radial pulses
Weigh daily

















References:

Potter, P. A., & Perry, A. G. (2009). Fundamentals of Nursing (7th ed.). St. Louis, Missouri: Mosby Elsevier.


Hypertension
http://youtu.be/ATLXgeKG9y0
http://youtu.be/pPxnIh_WTb8

Stroke
http://youtu.be/442s9a_TEL8