Hypotension

DEFINITION
Low blood disease or hypotension (hypotension) is a condition where a person's blood pressure drops below the normal rate, which reached a low value of 90/60 mmHg. Has been described in previous articles (high blood disease) that the value of a person's normal blood pressure with height, weight, activity level and health in general normal is 120/80 mmHg.

However, some people may have a value of blood pressure (tension) around 110/90 mmHg or 100/80 mmHg but they do not / have not or rarely reveal few complaints means, so that it is perceived in ordinary daily activities. If the condition continues, supported by several factors that allow triggering a significant decrease in blood pressure such as sweat and urinate a lot but less drinking, less sleep or lack of rest (fatigue with excessive activity) as well as excessive menstrual bleeding (abnormal) then blood pressure will achieve a low threshold (hypotension) 90/60 mmHg.


SYMPTOMS
A person who is experiencing low blood pressure generally will complain of a state often dizziness, frequent yawning, vision sometimes felt less obvious (the firefly) especially after a long sit and walk, a cold sweat, feel tired not powered, even experienced recurrent fainting. On examination the general rate / weak palpable pulse, the patient looked pale, this is due to the blood supply that is not the maximum to all body tissues.


CAUSE
There are several factors that cause why the decrease in blood pressure, this can be categorized as follows:

- Lack of pumping blood from the heart. The more blood that is pumped from his heart every minute (cardiac output, cardiac output), the higher the blood pressure. Someone who has a disorder / disease resulting in heart abnormal heart rhythm, damage to or dysfunction of heart muscle, heart valve disease will have an impact on the reduction in pumping blood (cardiac output) to the whole organ.

- Volume (number) of blood is reduced. This can be caused by severe bleeding (torn wounds, menstruation excessive / abnormal), diarrhea is not quickly resolved, excessive sweating, urination or excessive urination.

- The capacity of the blood vessels. Dilation of blood vessels (dilation) causes decreased blood pressure, this is usually as a result of septic shock, exposure by heat, diarrhea, drug-drug vasodilators (nitrates, calcium inhibitors, ACE inhibitors).


HANDLING / TREATMENT
There are several things you can do to improve the condition of low blood pressure (hypotension), including:

- Drinking water in considerable amounts of 8 to 10 glasses per day, an occasional cup of coffee in order to spur increased heartbeat so that the blood pressure will increase.

- Consuming foods that contain adequate levels of salt.

- Regular exercise such as walking in the morning for 30 minutes, at least 3 times a week can help reduce the onset of symptoms.

- In women who are encouraged to wear elastic stockings.

- Provision of drugs (increased blood) occurs only when the symptoms of hypotension that felt really disrupt daily activities, other than that the doctor would only provide vitamins (suport / placebo) as well as some suggestions that can be done for patients.

About the image that most people think that eating meat goat for patients with hypotension can increase blood pressure monitor is actually not clear, however justified if it will increase the content of hemoglobin (Hb) in blood. Once again it must be understood that the low blood pressure that is not optimal blood supply to all parts of the body. Hemoglobin (Hb) is low means that the binder content of Hb as oxygen in the blood has low levels of the patient consequences could pallor (anemia), dizziness (a transportable oxygen / blood supply to the brain is less), feel tired and so on.

In the case of hypotension that is really required the administration of drugs, usually there are several types of commonly used medications such as fludrocortisone, midodrine, pyridostigmine, nonsteroidal anti-inflammatory drugs (NSAIDs), caffeine, and erythropoietin.

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