Postural vital signs

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  • Supine, wait two minutes, measure
  • Standing, wait one minute, measure
  • Mean changes (from JAMA Rational Clinical Examination):
    • Pulse up by 10.9
    • Systolic BP down by 3.5
    • Diastolic BP down by 5.2
  • Significant changes are generally considered
    • Pulse up by 30
    • Systolic BP down by 20
    • Diastolic BP down by 10