Acute hypotension- how to treat this?

[Manideepa]

Hello, my friend is 45 years old. He has the problem of acute hypotension. He is always worried about his health for this reason. Please advise how to treat this condition?

[Deepan]

@manideepa Asymptomatic hypotension should not receive drastic interventions. However, if symptoms are present, the treatment of hypotension should focus on reversing the underlying etiology. Noninvasive imaging or hemodynamic indices of low cardiac output or systemic vascular resistance are not diagnostic but may help to classify hypotension. Therefore electrocardiogram, echocardiogram, and chest X-ray may assist in the workup. In a trauma case with hypotension and no apparent blood loss, an extended focused assessment with sonography in trauma (e-FAST) exam may be beneficial to identify the presence of intracavitary bleeding. It is important to monitor urine output to verify those fluid resuscitation efforts are sufficient with an output of 0.5 to 1.0 mL/Kg per hour.