Question

List steps to take orthoststic vital signs. Why would this information be valuable to gather before getting the patient up out of bed?

Answer 1

Orthostatic Vital signs- Its a diagnostic tool for Orthostatic Hypotension.

Orthostatic Hypotension- blood pressure of a patient suddenly drops, when a patient stands from a sitting or lying position, it also known as Postural hypotension.

Steps of taking OVS-

- During performing OVS we monitor BP and Heart rate in three different positions in an interval of one minute.

- We have to measure OVS in Supine position and in Standing position in the same hand.

- When we first start the patient need to lay down in the supine position for 2 to 3 minutes prior to check blood pressure and heart rate.

- then the patient needs to stand, takes the BP and Heart rate in the same hand and use the same measuring device.

- See patient safety for OH patients in standing position, the patient may fall down.

- A positive test is Decrease of Systolic BP 20 mm Hg, Rise in diastolic pressure 10mm Hg, and rise in heart rate by 20 beats for a minute in standing position.

- This information is necessary to avoid patient fall by Orthostatic hypotension.