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Am I dehydrated?

Sources
Is It POTS, OH,
Here’s how to tell or Dehydration?
 Thirst
1. Wells.Spurrier. Linz. Gallagher. By: Stacey Roberts
Mahaian. Sanders. Page. Lau. R. A.
 Rapid breathing
D. C.R. P. A. D. (2017). Postural
 Rapid heartbeat tachycardia syndrome:current
 Headache perspectives. Vascular Health And
 Dry Mouth ncbi.nlm.nih.gov/PMC5749569/
 Fatigue 2. Fedorowski, A. (2018). Orthostatic
 Severe dizziness or lightheadedness intolerance: Orthostatic hypotension
 Unconsciousness or delirium
and Postural Orthostatic
Tachycardia Syndrome. 1-19.
 If your urine is a darker
Oxford University Press

Capillary Refill Test Images Obtained From

1.https://www.amazon.ae/Oximeter-
 The time it takes for the color to return to Digital-Fingertip-Rechargeable-
an external capillary bed after pressure is Saturation/dp/B07WD9PWRZ
applied to cause blanching
2.https://mwoodpenblog.com/2017/
Skin Turgor Test 10/25/doctor-doctor/gsh-5-blood-
pressure-cuff/

3.https://www.hopkinsmedicine.org/
heart_vascular_institute/conditions_
treatments/treatments/tilt_table.html

4.
https://medlineplus.gov/ency/ima
gepages/17223.htm

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POTS (Postural Orthostatic Symptoms
Tachycardia Syndrome) Treatments: POTS & OH
POTS OH
-Increased HR -Hypotension
“Is the combination of an -Lightheadedness Non-pharmacological (POTS)
-Dizziness
exaggerated heart rate response to -Dizziness -Avoid overheating
standing, in association with -Lightheadedness -Elevate head of bed 10-30 degrees
-Fainting/Nausea
symptoms that improve that -Lifestyle management including diet,
recumbent” -Anxiety -Nausea sleep hygiene
-Brain Fog -Increase oral salt and water intake
 Average HR Adults 60-100 -Fatigue -Use of compression garments when
-Extreme Fatigue upright
BPM
-Problems with -Blurred Vision -Recumbent exercise program
 Supine-Standing after 10 min concentration -Rowing ergometer
if your Heart Rate is 130 BPM -Headache -Swimming or kicking laps with a kick
-Temperature
Board.
or greater than you have a deregulation
-Neck Pain -Upright Bike progress to Elliptical/
likelihood of being diagnosed -Tingling sensations Treadmill
with POTS. -Abdominal pain and
-Low back pain
OH (Orthostatic Diagnosis
bloating
-Palpitations
Non-pharmacological (OH)
-Regular cardiovascular and strengthening
Hypotension) -Light-headedness
exercises may reduce the symptoms
-Tilt Table Test -Move your legs while standing, to
encourage blood flow to flow your legs to
-Active Standing test -Visual disturbances a
Is a condition in which your blood your heart
few seconds after
standing -Gradual rising from supine and sitting
pressure falls significantly when you position especially in the morning
stand up quickly. -Compression garments

Pharmacological (OH & POTS)


 Average BP Adults 120/90 -Fludrocortisone (POTS, OH)
mmHG. -Midodrine (POTS, OH)
- Propanol (Beta Blocker) (POTS, OH)
 If your BP drops to 90/60 mmHG -Ivabradine (POTS)
-Intravenous Saline (POTS)
within 3 min of standing than you -Intermittent Infusion-Highly
have a greater chance of being symptomatic patients (POTS)
diagnosed with OH. -Avoidance of anti-hypertensive drugs:
nitrates, long-acting calcium channel
blockers, and diuretics-causes
vasodilation and volume depletion.
May worsen symptoms (OH)

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