Orthostatic hypotension Flashcards
Who is more commonly affected by orthostatic hypotension?
Elderly people
What is another term for orthosttaic hypotension?
Postural hypotension
What are the main presenting features of orthostatic hypotension?
a drop in BP within three minutes of standing
presyncope
syncope
How is orthostatic hypotension diagnosed?
A fall of 20mmHg or more in systolic blood pressure, or a fall of 10mmHg or more in diastolic pressure
What are the possible causes of orthostatic hypertension?
neurodegenerative disease- Parkinson’s
Diabetes
Chronic hypertension
Dehydration
What are the possible drug causes of orthostatic hypotension?
Alpha-blocker
vasodilators
Diuretics
Antidepressants
Opiates
How can the risk of effects of orthostatic hypotension be reduced?
Adequate hydration
Compression stockings
behavioural changes- rising slowly from chairs
What are the possible medications for orthostatic hypotension?
Midodrine
Fludrocortisone
