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Doctor insights on: Supine Hypotensive Syndrome

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What is maternal hypotensive syndrome? And does turning patient on left side increase bp, if so, how?

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

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Can a patient you may treat who is hypotensive show systolic numbers in the 120-140+ range due to "true" white coat syndrome?

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 more

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What to do if i wake up hypotensive & bradycardic!?

What to do if i wake up hypotensive & bradycardic!?

Medicines?: Do you have any symptoms? If you don't, why are you measuring your hr and bp? And what do you call hypotension and bradycardia? Usually both your BP and hr could be lower when waking up. ...Read more

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During a hypotensive crisis how is neostigmine used?

During a hypotensive crisis how is neostigmine used?

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

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Why is adrenaline contraindicated in hypotensive shock?

Why is adrenaline contraindicated in hypotensive shock?

It's not: But typically you want to volume resuscitate prior to using a pressor like Epinephrine or norepinephrine because that typically fixes the problem. ...Read more

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To restore BP in hypotensive crisis should they give you prostigmin (neostigmine)?

To restore BP in hypotensive crisis should they give you prostigmin (neostigmine)?

Possibly: This may be necessary. To goal is to address the cause of the low blood pressure. For example, if due to acute bleeding, replacement of blood volume is appropriate. If due to vasodilation, vasoconstrictors are helpful. In severe crisis, combinations of treatments are needed. ...Read more

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What leads to cognitive, neuro & endocrine problems after a severe hypotensive event?

What leads to cognitive, neuro & endocrine problems after a severe hypotensive event?

Hypotension: Severe hypotensive episodes often result in ischemic damage or infarction of cells in multiple body organs. The brain, nerves and endocrine cells are all quite sensitive to ischemia. ...Read more

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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?

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 more

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How can you restore blood pressure in hypotensive crisis? Prostigmin (neostigmine)?

How can you restore blood pressure in hypotensive crisis? Prostigmin (neostigmine)?

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