Clinical Scenarios: Hypotension

  • Questions:
  •     - How far post-op?
  •     - Patient’s mental status?
  •     - Recent BPs?
  •     - What are the other vitals (pulse, urine)?
  •  
  • Workup:
  •     - CBC
  •     - BMP
  •     - EKG
  •     - Type/Screen
  •     - CXR
  •  
  • Goals of Management:
  • Is the patient bleeding?
  •     - Do they need to go to OR?
  • Is this sepsis?
  • Determine if patient is stable on the floor
  • Fluid Replacement and BP monitoring
  •     - Crystalloids
  •     - Colloids
  •     - Blood