#19

orthostatic hypotension-

a BP that falls when a client sits or stands. It is a resut of peripheral vasodilation in which blood leaves the central body organs, especially the brain, and moves to the periphery, causing to feel faint. Can be caused by analgesics (Demerol), bleeding, severe burns and dehydration.

Assessing:
- Place client in Supine position for 2-3 min.
- Record Pulse and BP
- Assist client to slowly sit or stand, support incase of faintness
-After 1 Min in upright position recheck pulse and BP at same sites
- Record Results. A rise in pulse of 40 beats per min or a drop in BP of 30 mm Hg indicates abnormal orthostatic vital signs

P. 511 FUNDAMENTALS