When administering first doses of antihypertensives to older adults, what risk should nurses be particularly aware of?

When administering first doses of antihypertensives to older adults, the heightened risk of falls is particularly important for nurses to consider. This vulnerability arises because antihypertensive medications can lead to orthostatic hypotension, a condition where blood pressure drops significantly when a person stands up. In older adults, who may already have balance issues or decreased muscle strength, even a slight drop in blood pressure can lead to dizziness, lightheadedness, or fainting, increasing the likelihood of falls.

Falls in older adults can result in serious injuries, including fractures or head trauma, which can complicate their recovery and overall health. Therefore, it is essential for nurses to monitor these patients closely after the initial dose, ensuring that they are stable before allowing them to ambulate or engage in activities where falls could occur.

In contrast, while other risks such as infection, acute confusion, or impaired oxygenation may be concerns in older populations, they are not as directly linked to the first administration of antihypertensives as the risk of falls. Understanding this specific risk can help healthcare providers implement preventive strategies, such as assisting patients when they first stand and educating them about the potential side effects of the medications.