Hypotension (Low Blood Pressure)
Description
Significantly low blood pressure (less than 90 systolic). It has many causes including: severe infection, blood loss, traumatic injuries to the chest or abdomen, heart attack, severe allergic reaction (anaphylaxis), heart arrhythmia, heart failure, medications, overdoses, and severe spinal cord injury.
Symptoms
Confusion, weakness, fainting, lethargy, vomiting, sweating.
Tests
A history and physical exam will be performed. Tests will be done to determine the cause of the low blood pressure.
- CBC
- Chem 12
- Troponin
- UA
- X-Ray
- EKG
Treatment
The goal of therapy is to elevate the blood pressure and reverse the cause of the low blood pressure. Treatment includes: intravenous fluids, blood transfusions, and medications to increase the blood pressure (norepinephrine, dopamine, phenylephrine).
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