Hypotension

Question 1

hypotension DDx

complications

Answer 1

fluid/blood loss
sepsis
cardiogenic shock
anaphylaxis

AKI
reduced GCS
end organ failure

Question 2

hypotension during call

Answer 2

background
Obs
fluid balance

Question 3

hypotension exam

Answer 3

obs + GCS
urine output
assess fluid balance
hydration status exam (inc pul/ped oedema)
infection sources: (multi system exam + surgical wounds, drains, chest)

Question 4

hypotension Ix

Answer 4

image possible sources of fluid loss
CXR if pulm oedema
sepsis Ix
VBG (lactate)

assess end organ perfusion - urine output, lactate, GCS

Question 5

hypotension Rx

Answer 5

fluid challenge
monitor urine output
Rx cause
inotropic support in ITU if shock (hypotension not responding to fluid resus)