Got a gig on my chart documenting orthostatic check and want to run it by you all.
A few days ago had a 15 yo female feeling ill for a few days and presenting with fever, pale diaphoretic skin and general body aches. My field diagnosis was flu with possiable dehydration and I decided to check for orthostatic changes. Supine vitals were P 112 bpm, BP 118/60 and RR 26 slightly labored. We sat her up and and there was no change in pulse so I concluded there were no orthostatic changes.
the gig I received asked why I didn't document a repeat BP. What I know of orthostatic changes due to the fluid shift if there is an increase in the pulse rate there will be a drop in BP and since there was no change in pulse I concluded no orthostatic changes.
What are ya'alls thoughts?