Hypotensive Pregnant Pt

[Ace844]

Question, what is it that a blood pressure of 90/58 makes a person hypotensive? Unless you have a trending of baseline vitals over a period of time prior to conception, you have no idea what her normotensive pressure is so you assume that she is hypotensive.

"Kev,"

For a Gravid pt, 90/50 may indeed be hypotensive, there are other clinical factors involved here as well. Next one's clinical concern would largely be based on and would also depend on baseline body habitus , so without more objective info, #'s are relative IMHLO...

Hope this helps,

ACe844

[ffpm41]

Sounds like my wife when she is pregnant.

[kevkei]

"Kev,"

For a Gravid pt, 90/50 may indeed be hypotensive, there are other clinical factors involved here as well. Next one's clinical concern would largely be based on and would also depend on baseline body habitus , so without more objective info, #'s are relative IMHLO...

Hope this helps,

ACe844

Ace, I agree. My concern is that in pregnancy, it is normal for a BP to drop as opposed to increasing over baseline. From a physiological perspective, increase cardiac output and increased circulating volume is in compensation for placental engorgement, hence the comment. 90/50 may indeed be hypotensive and depending too much on quantitative data is my concern when there is qualitative evidence.