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Subtract values 3 minutes after standing (or if patient cannot stand, then sitting) from lying values. A decline of â¥20mm Hg in systolic or â¥10 mm Hg in diastolic blood pressure after 3 minutes of standing = orthostatic hypotension. A heart rate increase of at least 30 beats per minute after 3 minutes of standing may suggest hypovolemia, independent of whether the patient meets criteria for orthostatic hypotension.
Orthostatic Vital Signs. Emergency Nurses Association. 2011 Literature Review ED and non-ED setting, Definition of orthostatic hypotension, body positioning and timing, sensitivity to fluid volume loss, syncope symptoms and shock index, equipment used, and patient safety while obtaining orthostatic vital signs. Literature Review Changes in blood pressure and heart rate were more pronounced after a longer rest period, 5 min or greater is recommended. Legs should be uncrossed and arm supported while taking blood pressure and heart rate Orthostatic vital signs should not be measure