Hypotension


Causes
  • Hypovolemic
    • Nonhemorrhagic volume losses
    • Upper GI bleed
    • Lower GI bleed
    • Ruptured AAA
    • Ectopic pregnancy
    • Dialysis-induced hypOtension
    • Trauma
    • Retroperitoneal bleed
  • Cardiogenic
    • ACS
    • Acute heart failure
    • Dysrhythmia
    • Carotid Sinus Syndrome
    • Severe Hypothyroidism
  • Obstructive
    • Acute pulmonary embolism
    • Tension pneumothorax
    • Cardiac Tamponade
  • Impaired peripherial vasoconstriction/distributive
    • acute or intermittent
      • Vasovagal syncope
      • Pregnancy
      • Situational
      • Sepsis
      • Anaphylaxis
      • Carotid Sinus Syndrome
    • Chronic or recurrent
      • Medication related
      • Chronic Liver Disease
      • Parkinson disease
      • Diabetic autonomic neuropathy
      • Multi-system atrophy
      • Post-Stroke
      • Primary autonomic failure
      • Amyloidosis
      • Adrenal supression (iatrogenic)
      • Addison disease
      • Hypopituitarism
      • Thiamine deficiency
      • Vitamine B12 deficiency
Managemet
  • 1L IV NS Bolus
  • Beta-Blocker use/overdose
    • GlucaGen (glucagon) 3-10mg IV x1
  • CCB overdose
    • GlucaGen (glucagon) 3.5 - 5mg IV x1, repeat x1 if no BP response in 10min
  • Pressors
    • Levophed drip