Orthostatic Hypotension Management Algorithm • Hypovolemic? Yes → Resuscitate • Volume Overloaded? No → Fludrocortisone • Supine Hypertension? No → Midodrine, Yes → Consider Pyridostigmine Non-pharmacologic Management: • Abdominal binder, Compression stockings → Improves venous return and increases cardiac output • Increase PO intake, Increase salt intake → Increases intravascular volume • Head-up-tilt (HUT) position → Decrease in sodium and water excretion during the night → higher intravascular volume in the morning • Leg crossing with tension of the thigh, buttock and calf muscles (party position) → Improves venous return and increases cardiac output Dr. Satya Patel @SatyaPatelMD #Orthostatic #Hypotension #Management #Algorithm #treatment
