Orthostatic Blood Pressure Measurement
- Patient situations with suspected blood, fluid loss, or dehydration with no indication for spinal immobilization.
- Patients ≥ 8 years of age, or patients larger than the Broselow-Luten tape
- Gather and prepare standard sphygmomanometer and stethoscope.
- With the patient supine, obtain pulse and blood pressure.
- Have the patient sit upright.
- After 30 seconds, obtain blood pressure and pulse.
- If the systolic blood pressure falls more than 30 mmHg or the pulse rises more than 20 bpm, the patient is considered to be orthostatic.
- If a patient experiences dizziness upon sitting or is obviously dehydrated based on history or physical exam, formal orthostatic examination should be omitted and fluid resuscitation initiated.