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Hypotension
Causes:
2. Hypovolemia (most common cause ) it
could be due to inappropriate
replacement of blood and/or fluids pre
and/or post operatively.
3. Decrease systemic vascular resistance
(residual effects of anesthetics , sepsis)
4. Arterial hypoxemia.
Causes:
4. Cardia dysrhythmias.
5. Pulmonary embolus.
6. Decreased myocardial contractility (M.I).
7. Pneumothorax.
8. Cardiac tamponade.
Management
• Confirm the accuracy of the blood
pressure measurement.
• Oliguria (less than 0.5ml/kg/h) which
increase after fluid challenge (200ml).
• Low haematocrit.
• Replacement of fluid properly if not benefit
Put central venous line and measure CVP
-If Bp was low and CVP high it may indicate
heart failure (inotropic drugs).
- If Bp was low and CVP low it may indicate
hypovolemia (IV fluids).
- If Bp was low and CVP high or low it may
indicate sepsis (proper antibiotic).
Hypertension
Causes:
2. Arterial hypoxemia.
3. Enhanced sympathetic nervous system
activity (pain, bladder distension).
4. Preoperative hypertension.
5. Hypervolemia.
6. Hypercarbia.
Management
• Confirm the accuracy.