Orthostatic Hypotension - Management Algorithm Positive orthostatic vital signs defined as one of the following (within 3 minutes of standing): - ↓ SBP > 20 mm Hg - ↓ DBP > 10 mm Hg - ↑ HR > 30 bpm • HR increasing appropriately? No → Medication reconciliation, Assess for dysautonomia • Hypovolemic? Yes → Medication reconciliation, Resuscitate • Volume overloaded or at risk of overload? No → Fludrocortisone • Supine hypertension? No → Midodrine, Yes → Consider pyridostigmine Satya Patel, MD @SatyaPatelMD #Orthostatic #Hypotension #Management #Algorithm #Treatment
