How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask NURSE KAREN Your Own Question

NURSE KAREN
NURSE KAREN, Nurse (RN)
Category: Health
Satisfied Customers: 211
Experience:  REGISTERED NURSE WITH MANY AREAS OF CLINICAL EXPERTISE
Type Your Health Question Here...
NURSE KAREN is online now
A new question is answered every 9 seconds

93 year old female hospitalized one month ago for urinary tract

Resolved Question:

93 year old female hospitalized one month ago for urinary tract infection and uncontrolled hypertension. Systolics were running in excess of 210. Main overt symptom was dizziness and loss of balance. Took five days to get the blood pressure under control. UTI was treated with intravenous antibiotics. No antibiotics by mouth were given on discharge. Last week medications (she takes about six) were upgraded by a local physician when blood pressure noted to be 165 over 68. Another episode of dizziness in the middle of last night. Blood Pressure via cuff on left and right wrist this morning (at Walgreen's) was 170/70 and 162/70. Rode 40 miles in a car this afternoon and has experienced poor balance and some dizziness. Should we be looking at this as another UTI?
Submitted: 7 months ago.
Category: Health
Expert:  NURSE KAREN replied 7 months ago.
ALL INFORMATION IS GIVEN FOR EDUCATIONAL AND INFORMATIONAL PURPOSES ONLY.
PLEASE UNDERSTAND NO ONE CAN DIAGNOSE OR TREAT A MEDICAL CONDITION ONLINE.
**********************************************************************
HI. Thanks for the question.
It is certainly possible that she is having another UTI, it really sounds as if her symptoms are more blood pressure related--even when describing her symptoms at the initial hospitalization is sounds as if the BP problems were causing her symptoms, more so than the UTI.

That being said the UTI itself (if in the kidney) can actually cause the increase in her blood pressure, so I think it would be prudent to have a urine sample checked, especially since she has a history of increased BP and UTI.

If her BP was under control and then she has had a sudden increase (causing the MD to increase her BP meds)one would think that doctor should have checked her urine, but if not, I would suggest you have someone check it ASAP--a kidney infection, especially in a person of her age, can cause some very serious problems if not treated quickly.
If you have further questions, please ask.
NURSE KAREN, Nurse (RN)
Category: Health
Satisfied Customers: 211
Experience: REGISTERED NURSE WITH MANY AREAS OF CLINICAL EXPERTISE
NURSE KAREN and 2 other Health Specialists are ready to help you
Expert:  NURSE KAREN replied 7 months ago.
Hi,


I'm just following up with you to see how everything is going. Hope things are working out for you. Let me know if I can help you in the future!!


THANK YOU,
NURSE KAREN

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4013
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4013
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5575
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    16265
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12090
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    8726
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery