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Suggest Treatment For Hypotension

Posted on Tue, 7 Jun 2016

Question: wife has R. Heart failure, clear lungs, but wet cough, pulse 88bpm, O2 sat = 92%, BP=80/53. I have her legs elevated in the bed (sleep number type). BP Readings over the past 3 hours are as follows: 88/46; 90/50; 68/38; 80/53. What do I need to do to raise her BP?

Answered by Dr. Priyank Mody (18 minutes later)

Brief Answer:
Do see a doctor or visit the ER

Detailed Answer:
Hello, Your wife is heading towards cardiogenic shock ,
Clear lung fields can happen inspite of interstitial edema ( fluid in the lungs ) in chronic cases because of well developed lymphatic s .
However, lower spo2 and hypotension suggest an impeding shock.
Withhold antihypertensive medication , keep a tab on your urine output and strongly consider seeing a doctor or going to the ER .
Regards Dr Priyank Mody

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Priyank Mody (48 hours later)

Thank you for your rapid response, but I asked the question too late. She died at the ER.

Answered by Dr. Priyank Mody (17 hours later)

Brief Answer:
Really Sorry to hear that , May her soul rest on peace . Amen

Detailed Answer:
Hello , I am really sorry for the loss , none of my words to be would be enough console you . However I would like to reassure that there was nothing much you could do as human, and she is on a better place.
Regards Dr. Priyank Mody

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Priyank Mody (5 hours later)

Thank you for the kind words. May God continue to bless your calling in the medical arts.

Answered by Dr. Priyank Mody (5 hours later)

Brief Answer:
Thank you sir for the blessings

Detailed Answer:
Thank you sir for your blessing . Let me know ever if anything is needed.
Regards Dr Priyank Mody

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Prasad