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Orthostatic pulse change

NCLEX-RN glossary · Reduction Of Risk Potential

Definition

The calculated measure of a heart rate increase that occurs when a patient transitions from a supine to a sitting or standing position.

Orthostatic pulse change in plain English

This is a pulse increase of ≥ 20 bpm serves as a critical red flag for hemodynamic instability, significant fluid volume deficit, or autonomic dysfunction. The tempting mistake is assuming hemodynamic stability if the blood pressure remains unchanged, while ignoring a pulse increase of ≥ 20 bpm that signifies a compensatory response.

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