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What does it mean to be orthostatic? Orthostatic hypotension, also called postural hypotension, is defined as a sudden drop in blood pressure caused by a change in posture, such as when a person stands up quickly. When a person stands up after sitting or lying down, blood normally pools in the legs because of gravity.
How is orthostatic hypotension treated in the elderly? Instruct patients to: Not take pressor medications after 6 PM. Elevate the head of the bed to lower intracranial blood pressure. Try a bedtime snack with a glass of warm fluid (to induce nighttime postprandial hypotension) Try a glass of wine at bedtime (for vasodilator effects) Remove abdominal binder before bedtime.
How is severe orthostatic hypotension treated? For mild orthostatic hypotension, one of the simplest treatments is to sit or lie down immediately after feeling lightheaded upon standing. Your symptoms should disappear. When low blood pressure is caused by medications, treatment usually involves changing the dose of the medication or stopping it entirely.
Is orthostatic intolerance the same as pots? Postural tachycardia syndrome (POTS) is defined by day-to-day symptoms of orthostatic intolerance (OI) associated with excessive upright tachycardia but not with hypotension (see image below). Heart rate increases, while MAP is stable throughout tilt in POTS.
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