How can you increase blood pressure if you have hypotension?

How can you increase blood pressure if you have hypotension?

August 28, 2019 23 By Bertrand Dibbert


Patients with hypotension or low blood pressure
often have poor quality of life due to symptoms of fatigue, lightheadedness when changing
posture or even blacking out. The important thing here is to make the patients safe and
improve their quality of life. And once again, I’m very keen on avoiding drug treatment to
do this – although there are a number of drugs that are available. In the first instance,
we use physical measures to try and improve the blood pressure, such as increasing ingestion
of water and salt to maintain a well hydrated state. Also, avoidance of conditions in which
one can become dehydrated such as exposure to hot weather or being sat in hot stuffy
environments is a good measure to undertake for all of these patients. Other means that
we use to improve blood pressure levels in patients who run low blood pressure include
compression hosiery. And examples of this are compression garments to the lower limbs,
grade two compression stockings, and also to the stomach area such as corsets or binders. Sometimes patients find these uncomfortable, but the important thing to remember is that they
only need to wear them when they’re out and about. When you’re at home, such garments
should not usually be necessary as one is safer in the home environment. Turning to the drug treatment of
low blood pressure or hypotension, we use a number of drugs that
increase the return of blood to the heart and constrict the arterial and venous system. The important thing to recognise is that
a lot of these drugs are not well tolerated by the patient, and the physician
needs to be somewhat sympathetic to this. I always start with very low doses of
medications when I introduce them and try and build them up,
but I’ve only done this once the patient has failed to respond to the physical measures
that I described.