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Subtract values 3 minutes after standing (or if patient cannot stand, then sitting) from lying values. A decline of â¥20mm Hg in systolic or â¥10 mm Hg in diastolic blood pressure after 3 minutes of standing = orthostatic hypotension. A heart rate increase of at least 30 beats per minute after 3 minutes of standing may suggest hypovolemia, independent of whether the patient meets criteria for orthostatic hypotension.
If the blood pressure is greater than 140/90, you should wait for 1 minute and re-check. Please note, normal reading differ for diabetic patients. Furthermore, you should explain to your examiner that you would want to check the blood pressure standing to check for a significant drop (>20 mmHg after 2 minutes). This would suggest a postural hypotension. Finally, you should inform the patient of their reading, and thank them.