Doctor insights on:
Supine Hypotensive Syndrome
What is maternal hypotensive syndrome? And does turning patient on left side increase bp, if so, how?
Compress vena cava: During pregnancy as uterus gets big and heavy it compresses the inferior vena cava when mother lays on her back. Vena cava is the big vein that drains blood from lower body into the heart. Laying on your left side takes pressure off the vena cava to avoid this compression by the uterus. ...Read more
Can a patient you may treat who is hypotensive show systolic numbers in the 120-140+ range due to "true" white coat syndrome?
Hypertension: White coat syndrome or stress induced hypertension can be just as much medical risk as chronic high normal blood pressure. Stage 1 hypertension diagnosis is made at a BP of 140/90 (either number) or higher on 2 or more visits regardless of the "white coat" response. ...Read moreSee 1 more doctor answer
Hypotension: neostigmine isn't used in hypotensive crisis, read this: https://books.google.com/books?id=5zd_W_PUwvYC&pg=PA193&lpg=PA193&dq=hypotensive+crisis+and+neostygmine&source=bl&ots=SWufyt2QhL&sig=5vWWEMUYn3pGZ3CDqoR_Gdq3hsM&hl=en&sa=X&ei=tj1aVYuZIcLKogSxyILwCg&ved=0CCAQ6AEwAA#v=onepage&q=hypotensive%20crisis%20and%20neostygmine&f=false ...Read more
Was on 15mg lisinopril then 10mg then 5 mg daily then 2.5mg every 12 hr. Took 5mg in morning and was hypotensive 24hr later. Why?
You don't need it?: Possibly your blood pressure is not really high any more or you were started on treatment on the basis of only one or two readings. Sometimes, if the heart doesn't pump as forcefully, thyroid level is low, you have lost weight, or other reasons, the blood pressure drops. Being hypotensive can be dangerous (falls, possible strokes, or heart attacks) at your age. Ask your doc if you should stop rx! ...Read moreSee 1 more doctor answer
HyPOtensive crisis?: I've never heard of hyPOtensive crisis. HyPERtensive crisis, yes. When someone's blood pressure is dangerously low, that's called "shock." There's hemorrhagic shock & septic shock & shock from low cardiac output due to MI or CHF, etc. Drugs commonly known as pressors such as dopamine, dobutamine, and levarterenol are used to keep BP up. I'll defer to my intensivist colleagues for better answers. ...Read more