Low blood pressure after surgery

This is an automatically translated article.

The article was professionally consulted by Dr. Tran Quoc Tuan - Emergency Medicine Doctor - Emergency Resuscitation Department - Vinmec Phu Quoc International General Hospital.
Any surgery carries risks during and after surgery. Low blood pressure after surgery is a problem many people face. So what causes this condition and how effective is the management of low blood pressure after surgery?

1. Causes of low blood pressure after surgery

Normal blood pressure fluctuates at 120/80mmHg, if it is equal to or less than 90/60mmHg, accompanied by symptoms of headache, dizziness, dizziness... it is considered hypotension, but it can also depend on blood pressure. depends on the situation and the patient. Causes of low blood pressure after surgery include:
1.1. Anesthesia Anesthesia used during surgery can affect blood pressure. Changes can happen while you are sleeping and when the medicine is about to wear off. In some people, anesthetics lower blood pressure after surgery. In this case, your doctor will carefully monitor you and give you intravenous medications to help return your blood pressure to normal.
1.2. Hypovolemic shock Hypovolemic shock occurs when the body is put into a state of shock due to severe blood loss. Losing a large amount of blood during surgery can lower blood pressure. Decreased blood volume also means a decrease in blood supply and makes it difficult to meet the needs of the organs.
In case of low blood pressure after surgery due to hypovolemic shock, you will be treated at the hospital. The goal of treatment is to replenish and restore circulating volume in the body before damage occurs to vital organs (especially the kidneys and heart).
1.3. Septic shock Sepsis is a life-threatening complication caused by a bacterial, fungal, or viral infection. It causes the walls of small blood vessels to leak fluid into the interstitial tissues. A serious complication of sepsis is called septic shock, and one of its symptoms is severe postoperative hypotension.
Sepsis is treated in the hospital by methods such as antibiotics, volume resuscitation and monitoring. To treat hypotension after surgery, you may be given a vasopressor. They help blood vessels constrict so blood pressure rises.

Sốc nhiễm trùng
Sốc nhiễm trùng

2. Management of low blood pressure after surgery

Low blood pressure after surgery puts the patient at risk of damage to vital organs such as the heart and brain due to lack of oxygen. Postoperative hypotension occurs when the patient is hospitalized for emergency conditions such as blood loss or myocardial infarction.
However, low blood pressure after being discharged home will become dangerous if the patient is not given proper first aid. Here are some home remedies for low blood pressure after surgery as follows:
Get up slowly: This helps to slowly stretch blood vessels, making blood circulation easier. After waking up, avoid getting up right away. Instead, move slowly from lying to sitting with your feet down on the ground. Hold this position for at least 60 seconds to allow the body to adjust itself. Next, stay on the bed but slowly swing your legs. Hold this position for 1-2 minutes before standing upright.
Do not use stimulants such as coffee and alcohol: The reason is that both substances cause dehydration leading to a drop in blood pressure.
Eat small meals: Some people have a habit of eating large, high-carb meals, this can cause a sudden drop in blood pressure right after eating, in what is known as postprandial hypotension or hypotension. standing position. Therefore, you should maintain small meals with low carb content and supplement snacks between meals, which will have the effect of increasing blood pressure for the group of people who have low blood pressure after surgery.
Eating right: Many patients after surgery have symptoms of anorexia. During this time, the lack of adequate nutrition is also the cause of low blood pressure after surgery. This is when the body requires a lot of energy for the recovery process. You need to provide enough energy for your body, so you should choose foods rich in nutrients, especially protein because protein is especially necessary for the wound healing process.
Drink lots of water: Dehydration is the culprit behind low blood pressure after surgery. You need to drink more water to help prevent low blood pressure after surgery effectively. Increasing the intake of filtered water and electrolyte-rich drinks such as coconut water will help prevent the symptoms of low blood pressure.
Eat a lot of salt: Doctors recommend that if the patient adds salt to food or takes salt tablets, it can prevent hypotension after surgery.
Use licorice root:

Rễ cam thảo được xem là phương thuốc thảo dược tốt để điều trị bệnh huyết áp thấp
Rễ cam thảo được xem là phương thuốc thảo dược tốt để điều trị bệnh huyết áp thấp
According to traditional medicine, licorice root is considered a good herbal remedy to treat low blood pressure. It works to support adrenal function and regulate blood pressure. It can be taken directly or as a capsule, tablet, powder or tea product. If you're taking blood thinners, potassium, or blood pressure medications, talk to your doctor before taking licorice just to be safe.
According to experts, after surgery, patients need to increase rest, take medicine, eat well to prevent complications after surgery, especially low blood pressure after surgery. After you go home, you need to take care of yourself according to your doctor's instructions.
However, if low blood pressure does not improve and persists with symptoms such as dizziness, lightheadedness, blurred vision, nausea, dehydration, chills or fainting, then you should see a doctor to get checked. prompt treatment and care.
Doctor Tran Quoc Tuan has 12 years of experience at Vinh Long General Hospital, Gia Dinh People's Hospital, Nguyen Trai Hospital. Currently working as an Emergency Resuscitation Doctor at Vinmec Phu Quoc International General Hospital.
Vinmec International General Hospital is a leading prestigious medical facility in the field of treatment of blood pressure diseases, with a team of specialized and experienced medical doctors and a system of modern equipment. support the most effective treatment.

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.

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