Rescue of hypotensive shock

Written by Zhang Yue Mei
Cardiology
Updated on September 19, 2024
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Low blood pressure is an important clinical symptom and diagnostic indicator of shock. Regardless of what causes the shock, the presence of low blood pressure, along with cold limbs, cold sweat, reduced urine output, and an indifferent expression, indicates insufficient peripheral vascular perfusion. Prolonged insufficient perfusion can lead to damage to vital organs. Therefore, timely emergency treatment is essential to elevate blood pressure and save the patient's life. The initial steps include administering oxygen to ensure the oxygenation of vital organs, replenishing blood volume, using vasopressors, and providing timely emergency treatment to save the patient's life.

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Written by Zhang Yue Mei
Cardiology
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How to supplement the diet for low blood pressure

Low blood pressure can cause harm to the body, and long-term low blood pressure may lead to insufficient blood supply to important organs. Therefore, while treating with medications, dietary adjustments should also be made. Patients with low blood pressure should generally consume a diet high in protein, nutrients, and calories. It is often beneficial to include nutrient-rich soups such as chicken soup, duck soup, mutton soup, beef soup, and sea cucumber soup. These soups can not only provide high-quality proteins, trace elements, minerals, and various vitamins needed by the body but can also enhance the body's immunity.

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Written by Zhang Yue Mei
Cardiology
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What is the range for low blood pressure?

Blood pressure below normal is clinically diagnosed as hypotension. Normal blood pressure ranges from 90 to 140 mm Hg systolic and 60 to 90 mm Hg diastolic. If the systolic pressure is below 90 mm Hg and the diastolic pressure is below 60 mm Hg, it is clinically diagnosed as hypotension. Symptoms of hypotension often include fatigue, dizziness, palpitations, shortness of breath, and darkening before the eyes. Mild hypotension may not present any clinical symptoms, while severe hypotension requires treatment based on clinical symptoms and the underlying disease to correct it.

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Written by Zeng Wei Jie
Cardiology
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What causes low blood pressure?

There are many causes of low blood pressure. A significant portion of chronic hypotension is due to physical constitution, with some patients who are generally frail having consistently low blood pressure but no symptoms. This type is quite common. Secondly, postural hypotension is also fairly common, often seen in elderly people or those taking antihypertensive medications, such as receptor blockers. These patients may experience transient dizziness and transient low blood pressure when getting up, known as postural hypotension. Moreover, the more common type is acute, sustained low blood pressure, which includes various causes of shock, myocardial infarction, cardiac tamponade, or acute blood loss, which can be life-threatening conditions requiring urgent treatment.

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Written by Zhang Yue Mei
Cardiology
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How to treat low blood pressure?

How to treat low blood pressure depends on the extent of the decrease in blood pressure and the causes of low blood pressure. If the blood pressure is not too low and there are no obvious clinical symptoms, generally, there is no need for pharmacological treatment. What is needed is lifestyle adjustments, consuming high-nutrient foods, proper exercise, increasing the vitality of the heart and the elasticity of the blood vessels, and drinking more broth. If it is caused by severe illness leading to shock, immediate effective medication treatment and rescue are required, starting with the replenishment of blood volume, improving microcirculation, and using vasopressors to raise the blood pressure to a safe range, to ensure the blood supply to the heart, brain, and kidneys. (Note: Doctor’s answers are for reference only. Please follow the guidance of a professional physician for medication use, and do not self-medicate blindly.)

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Written by Zhang Yue Mei
Cardiology
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Is low blood pressure dangerous?

Severe hypotension is very dangerous. Hypotension is a diagnostic indicator of shock. Excessively low blood pressure leads to insufficient perfusion of the microcirculation, especially in vital organs such as the brain, heart, and kidneys, which can cause ischemia and hypoxia, leading to the failure of these organs and endangering life safety. Therefore, the occurrence of hypotension, especially severe hypotension, requires active resuscitation. Initially, it is necessary to administer fluids to supplement blood volume and make corrections, while also using some vasopressor medications to treat the disease causing the hypotension, achieving a blood pressure-raising effect to save lives.