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Is It Necessary To Consult A Doctor When Diagnosed With Low BP?
Question: My mother is 92 years old. Her blood pressure was measured at 90/40 yesterday and the nurse on duty at the her assisted living place determined that she didn't need to go to the hospital. Today my mother was rushed to the hospital's trauma center because she is unresponsive, eyes rolled back in her head and the left side of her face is droopy. I haven't heard from the trauma center, but I'm wondering if the decision not to send her to the hospital yesterday with low blood pressure was a good decision.
Brief Answer:
Hypotensive episode; aggressive treatment would have been a better choice
Detailed Answer:
Hi,
Thank you for posting your query in healthcaremagic.com
This is Dr. Swarnava dattagupta answering your query.
I have gone through your query and understand your concern.
Sorry to hear about your mother's condition.
According to your history, your mother was hypotensive yesterday because her diastolic blood pressure was 40mm of Hg which is well below normal. Considering her age, she might have had some comorbidities. You have not mentioned any such condition in the history, so the actual cause of the hypotension cannot be said. Inadequate diet, use of certain drugs, anemia or dyselectrolytemia might have been a possible cause. It could have led to hypoperfusion and the above symptoms.
Anyways, aggressive initial treatment in the form of fluid resuscitation, monitoring of the vitals like blood pressure, pulse, urine output should have been done. If the above could not be done in home, hospitalisation could have been the next option. Because if she did not respond with initial management, further management could only be done in hospital.
Hope i have answered your question.
If you have any further questions i will be happy to help.
Wish your mother a speedy recovery.
Regards.
Hypotensive episode; aggressive treatment would have been a better choice
Detailed Answer:
Hi,
Thank you for posting your query in healthcaremagic.com
This is Dr. Swarnava dattagupta answering your query.
I have gone through your query and understand your concern.
Sorry to hear about your mother's condition.
According to your history, your mother was hypotensive yesterday because her diastolic blood pressure was 40mm of Hg which is well below normal. Considering her age, she might have had some comorbidities. You have not mentioned any such condition in the history, so the actual cause of the hypotension cannot be said. Inadequate diet, use of certain drugs, anemia or dyselectrolytemia might have been a possible cause. It could have led to hypoperfusion and the above symptoms.
Anyways, aggressive initial treatment in the form of fluid resuscitation, monitoring of the vitals like blood pressure, pulse, urine output should have been done. If the above could not be done in home, hospitalisation could have been the next option. Because if she did not respond with initial management, further management could only be done in hospital.
Hope i have answered your question.
If you have any further questions i will be happy to help.
Wish your mother a speedy recovery.
Regards.
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Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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