Measuring orthostatic hypotension

Purpose of this sheet: essential vital signs monitoring landmarks a nurse or licensed practical nurse in Quebec should keep in mind for clinical practice and for succeeding on the OIIQ or OIIAQ entry exam. Exam relevance: Vital sign interpretation — accounting for age and context — is central to the clinical judgment assessed by the OIIQ. — Clinical landmarks — 1. Lying down, after 5 minutes of rest: BP and pulse 2. Standing, at 1 minute: BP and pulse 3. Standing, at 3 minutes: BP and pulse 4. Note any dizziness, blurred vision or unsteadiness Positive if the systolic drops by 20 mmHg or more, or the diastolic by 10 mmHg or more, within 3 minutes of standing, or if symptoms appear. — Remember — Use this sheet in spaced repetition, pair it with a matching clinical scenario on NursEduc, and always compare values to the person's baseline before drawing conclusions. Keywords: vital signs, blood pressure, pulse, saturation, temperature, OIIQ exam, OIIQ exam prep, OIIAQ exam prep, nurse in Quebec, NursEduc.

Clinical content reviewed by Ducamelle Louis, Registered Nurse