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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.
Orthostatic Measurement. Definition: Orthostatic, tilt or postural vital signs (VS) are serial measurements of blood pressure (B/P) and pulse that are taken with the patient in the supine, sitting, and standing positions, results are used to assess possible volume depletion.