Concluded Case

hypotension

How to manage case of hypotension in female pt? Patients complains about feeling lethergic, no other prblems, moderately anemic, & their bp is below 100(sbp) How you manage this type of case, Any special advice? Any drug?

3 Likes

LikeAnswersShare
Concluded answer

Treat anemia with oral or iv uron replacement. May be oral protein powder helpful. If patient is having good urine output, only adequate salt and water is advisable.

All Answers

Management of blood pressure depends on many factors If someones baseline systolic blood pressure is 140 mm of Hg and now there is sudden fall in blood pressure to less than 100 mm of Hg, it can be called as hypotension due to shock - causes such as hypovolemic shock, cardiogenic shock, septicemic shock needs to be investigated, they may need fluids and ionotropic support However, few people especially females can have physiological normal systolic blood pressure of about 100 mm of Hg, in such patients it is physiological to have systolic blood pressure between 90 - 100 mm of Hg - such patients do not need any treatment for blood pressure

those pt isnot in shock. Or any other prblm clinically
0

? HYPOTENSION .. WITH .. ANEMIA .. MANAGEMENT .. R/O & .. TREAT THE CAUSE OF .. HYPOTENSION..AND .. ANEMIA IV FLUIDS .. GLUCOSE .. POLYBION .. IRON SUCROSE .. MULTIVITAMINS ANTIOXIDANTS AND HEMATINIC'S.. IF HB .. IS LESS THAN 7 GM% .. THEN .. BT .. IS NECESSARY..

Tnx Dr Ashok Leel sir
0

Find out the cause of Hypotension. Treat the cause..Not the symptoms if you want the best & permanent result.

Thanx Dr Anilbhai.
1

View 1 other reply

Treat anemia with oral or iv uron replacement. May be oral protein powder helpful. If patient is having good urine output, only adequate salt and water is advisable.

To find out etiology of hypotension, & anemic reason such as TIBC,UIBC, Vit. D3, B12, Anemic Treat orally

Please rule out thyroid disorders, Vit B12 and Serum 25(OH)D For anemia, you have to first figure out whether its macrocytic or microcytic, which is evident on a CBC report As u said mild anemia in this case, advise her - Tab Seder OM once daily after lunch Tab Limcee 500 BD Would also advise her to supplement with a dose of Vit D 60k and Optineuron inj in 100cc NS over 25 mins and wait for report

First line iv fluids with inj mephentine 2ml iv stat or dopamine in infusion. Needs further investigation and evaluation to conclude and line of treatment. Treat the cause . Symptomatic treatment for initial period to avoid any eventuality.

Thanks Dr Kute Ankush
0

View 1 other reply

No need if patient is in physiological hypotension..hydration nd vit c.

Why vit c
0

First confirm whether it is pathological or physiological. Look for causes treat anemia.

How i confirm this?
0

Assessment starts with proper history ,aim should be to know the cause and baseline bp and sympatomatology Find out cortisol,aldosterone level and hemoglobin with thyroid report basically treat the cause

Thank you doctor
0
Load more answers

Diseases Related to Discussion