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121 Possible Causes for Hypotension, Narrow Pulse Pressure

  • Anemia

    Class III (30-40% blood loss) always leads to a measurable decrease in blood pressure as well as significant tachycardia and a narrow pulse pressure.[emedicine.com] HBO was discontinued in the survivors when they no longer suffered from hypoxic sprue, postural hypotension, and usually when the Hct was 22% or greater and the Hb was 7 g[archive.rubicon-foundation.org] Hypovolemia leads to hypotension, which is detected by stretch receptors in the carotid bulb, aortic arch, heart, and lungs.[web.archive.org]

  • Hypovolemia

    If the difference is less than 25 percent of the systolic blood pressure, the pulse pressure is considered to be narrow.[ems1.com] Although hypovolemia may intuitively seem a likely cause for hypotension in intensive care patients, its role in the pathogenesis of intradialytic hypotension may be overestimated[ncbi.nlm.nih.gov] KEYWORDS: Blood donation; Blood pressure variability; Heart rate; Heart rate variability; Non-hypotensive hypovolemia[ncbi.nlm.nih.gov]

  • Congestive Heart Failure

    Signs There may be a tachycardia at rest, low systolic blood pressure (BP), a displaced apex (LV dilatation) or RV heave (pulmonary hypertension), a narrow pulse pressure[patient.info] After cardioversion, refractory hypotension and cardiopulmonary arrest occurred. An arterial blood gas analysis showed marked lactic acidosis.[ncbi.nlm.nih.gov] Therefore, ASV may be effective for treating CHF in HD patients with LV dysfunction and chronic hypotension.[ncbi.nlm.nih.gov]

  • Acute Myocardial Infarction

    On the second hospital day, hypotension and a new cardiac murmur was found. The emergency echocardiographic study disclosed a ventricular septal defect.[ncbi.nlm.nih.gov] Their results were mixed: IV magnesium reduced the incidence of serious arrhythmias, but this treatment also increased the incidence of profound hypotension, bradycardia and[cochrane.org] These drugs provide potent alpha-1 constriction and are used in the management of hypotension. Norepinephrine and epinephrine have Beta-1 stimulation as well.[cathlabdigest.com]

  • Aortic Valve Stenosis

    Signs Examination of the pulse in significant AS reveals a slow-rising, flat character called pulsus parvus et tardus. [ 7 ] Blood pressure will show a narrow pulse pressure[patient.info] If unexpectedly poor exercise tolerance is demonstrated or if there is exercise-induced hypotension or ventricular arrhythmia, aortic valve replacement seems wise, although[doi.org] Clinical examination classically reveals a narrow pulse pressure, a slow-rising peripheral pulse, pulsus parvus et tardus (weak and delayed pulse) in the carotid pulse, a[radiopaedia.org]

  • Dehydration

    A review of the anesthesia record from the study revealed that the patient was hypotensive.[ncbi.nlm.nih.gov] Abstract Systemic vascular disorders, leading to childhood stroke, include volume depletion or systemic hypotension and hypernatremic dehydration.[ncbi.nlm.nih.gov] She had moderated to severe dehydration but no hypotension.[ncbi.nlm.nih.gov]

  • Cardiogenic Shock

    Narrow pulse pressure. D. Oliguria. 5. Answer: C. Narrow pulse pressure.[nurseslabs.com] After the initiation of intravenous diltiazem drip, she developed hypotension, bradycardia, then asystole cardiac arrest.[ncbi.nlm.nih.gov] He is profoundly hypotensive with low O2 sats and obvious CHF. The patient’s blood pressure will transiently respond to fluid resuscitation.[emsimcases.com]

  • Cardiac Tamponade

    pulse pressure and pulsus paradoxus may also be observed. 2 The diagnosis can be rapidly confirmed by bedside ultrasound. 3 In traumatic cardiac tamponade, the treatment[westjem.com] Of the 7 hypotensive or normotensive patients diagnosed with cardiac tamponade, 4 underwent successful pericardiocentesis while awaiting surgery.[ncbi.nlm.nih.gov] Cardiac tamponade often presents as a cardiogenic obstructive shock with shortness of breath, tachycardia, hypotension with a narrow pulse pressure (but blood pressure may[acls.com]

  • Abruptio Placentae

    A pregnant woman has a greater blood volume thus hypotension may not be as profound as expected particularly if hypertension was present previously.[sharinginhealth.ca] Hypotension BP 1: Inspect skin color, temperature, and capillary refill 2: Count and weigh pads hourly.[quizlet.com] Dose Not established Contraindications Documented hypersensitivity; hypocalcemia; myasthenia gravis, renal failure Interactions Concurrent use with nifedipine may cause hypotension[www1.cgmh.org.tw]

  • Addison's Disease

    […] of hypotension in these individuals.[ncbi.nlm.nih.gov] During admission for evaluation of hypotension, she was also detected to have hyponatremia. Hyponatremia and hypotension failed to improve despite fluid resuscitation.[ncbi.nlm.nih.gov] She was hyperpigmented, hypotensive and hyponatraemic despite rehydration.[ncbi.nlm.nih.gov]

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