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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.
There has been much discussion about the correct way to check orthostatic blood pressure on these patients. I know that you check HR/BP while the patient is supine, then sitting, then finally standing. What I need to know is, how long do you wait after each position change to check the HR/BP?