90 yr old woman keeps forgetting to take her meds. She has missed 9 days of 19 days not taking blood pressure meds. What are the effects when she is not taking her medication?
1. In old age there is already Isolated systolic hypertension in elderly or Pseudo hypertension due to stiff and non-compliant vessels (Osiers sign), thus make sure dose of the Chat Doctor. 2. sudden stoppage of BP pill result in rebound/accelerated hypertension which sometimes change into Malignant hypertension characterized by target organ damage (blurred vision, hematuria, hemorrhage in brain)3. Hypertension is also a Psycho somatic disorder so apart from body you have to take into consideration the mind part also. Make sure low dose tranquilizer is also given.4. In old age due to arteries been hard will result in less delivery of oxygen and nutrients to body parts, and as arteries become narrow, blood clots can form which can lead to fatal outcome.