Sunday, December 18, 2011

Hypotension

Diagnosis:

If blood pressure is below 90/60

headache, drowsiness or fainting 

Treatment:

Give: 0.9% saline 500 ml intravenous infusion + Dexamethasone ampule +/- Solu cortef ampule

NB:

-Dexamethasone do not raise blood pressure but improves peripheral circulation 

-Hydrocortisone raises blood pressure as it causes Na retention

-There is Dexamethasone syrup and ampule form

-Dexamethasone and Fortecortin give the same result

-Solu cortef (Hydrocortisone) ampule may be given alone without intravenous saline 
                                                                                                                   

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