Question

A 74-year-old with long-standing diabetes presents with autonomic symptoms and orthostatic hypotension. BP supine 138/76, standing 102/60. Nonpharmacologic first-line management?

Accepted Answer

Increase water and salt intake, compression garments, slow position changes

Answer

Stop all antihypertensives immediately

Answer

Start fludrocortisone first-line

Answer

Start midodrine first-line without lifestyle

Answer

Advise only to avoid standing

Practice question

A 74-year-old with long-standing diabetes presents with autonomic symptoms and orthostatic hypotension. BP supine 138/76, standing 102/60. Nonpharmacologic first-line management?