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Deng
Da-Wei
ON POSTURAL
HYPOTENSION
OF OLD
PEOPLE
Postural hypotension (low
blood
pressure on change of body position)
in
old people may be triggered off
by
getting
up
too
suddenly.
Other
related
factors are excessive exercise, tired-
ness, overeating,
too
hot
a
bath
etc. lt
presents as inability to stand
steadily,
weakness, blurring
of
vision, dizziness,
nausea, or, in severe cases, even loss
of consciousness. ln
old
people, unex-
plained bruises or falls should
alert
us.
Measure the blood pressure lying down
and standing
up.
Take
meals in mod-
eration; refrain from smoking
and
drinking;
have
regular
exercises but
avoid strenuous ones. Avoid prolonged
standing; getting up too
suddenly
especially from
a
squatting
position
to
a
standing
position - hold on to secure
objects whenever possible.
lf
the action
of getting up
is
slow and
steady, even
if
there is hypotension, there would not
be
too much physical disturbance.
All
medications should
be
taken
on the
direction of the doctor. Sometimes,
it
may be worthwhile
to
wear elastic
stockings and
well{itting
plastic belts
as an adjunct to medication.
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34
