Hypotension resident survival guide

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Definition

Hypotension is low blood pressure, especially in the arteries of the systemic circulation. It is considered to be a systolic BP of less than 90mmHg or diastolic of less than 60mmHg.

Causes

Life Threatening Causes

• Anaphylaxis
• Bleeding
• Dehydration
• Hypothermia
• Sepsis

Common Causes

• ACE inhibitors
• Addison's disease
• Anaphylaxis
• Beta blockers
• Bleeding
• Calcium channel blockers
• Diuretics
• Hypoglycemia
• Hypothermia
• Hypovolemia
• Pregnancy
• Sepsis
• Shock
• Tricyclic antidepressants

Don'ts

• Avoid or limit the use of alcohol
• Avoid standing for prolonged periods of time
• Don't cross legs while in a sitting position