مريض عمره ٨٠ سنة يأخذ ثلاثة أدوية ضغط، ويقول إنه يدوخ عند القيام من السرير. قياس الضغط: مستلقياً ١٣٨/٨٠ ونبضه ٧٢، وبعد الوقوف دقيقتين ١١٢/٦٦ ونبضه ٩٠. ما التفسير الصحيح؟

An 80-year-old on three antihypertensives reports dizziness getting out of bed. Lying BP is 138/80 with HR 72; after standing two minutes it is 112/66 with HR 90. What is the correct interpretation?

1. Uncontrolled hypertension
2. Drug-induced bradycardia
3. A normal standing response in older adults
4. Orthostatic hypotension

Answer: D) Orthostatic hypotension. A fall in systolic pressure of 20 mmHg or more, or diastolic of 10 or more, within 3 minutes of standing is orthostatic hypotension. It raises fall risk; the client is taught to rise slowly and the prescriber reviews the drugs.