Hypotensive

Question 1

When managing a PT with a hypotensive episode. What should you do?

Answer 1

• Rest patient for 5-10 mins
• Reassess blood pressure
• Consider and question anti-hypertensive medications

Considerations:
- Orthostatic BP drop of >20 mmHg
- Inadequate rise in BP <20 mmHg with increasing intensity
- SBS drops >10 mmHg below resting despite increase in intensity

Question 2

If BP <80/55 and symptomatic

Answer 2

• Counselled, not permitted to exercise
• Lay down and rest
• Reassess / Supervisor . Clinical Nurse
• QAS
• Documentation in chart

Question 3

If BP <80/55 asymptomatic

Answer 3

• Counselled and not permitted to exercise unless prior history and medical confirmation
• Documentation in chart
• Letter to GP
• Establish safe transportation home

Question 4

If BP >80/50 Asymptomatic (Sitting and Standing)

Answer 4

Use clinical judgement to facilitate safe exercise