First-line Medications for Low Blood Pressure

For patients experiencing mild hypotension, traditional Chinese medicine can be the first choice for treatment. For example, oral administration of Shengmai Yin or intravenous infusion of Shenmai or Shenfu injections can effectively help raise blood pressure. These herbal remedies are commonly used to improve cardiovascular function and stabilize blood pressure levels.

Identifying the Underlying Causes of Hypotension

It is crucial to determine the root cause of low blood pressure before initiating treatment. If hypotension is caused by shock or hypovolemia, prompt fluid resuscitation is essential. Under continuous monitoring of vital signs—including heart rate, blood pressure, pulse, body temperature, urine output, oxygen saturation—intravenous fluid therapy should be administered to restore blood volume and improve circulatory stability.

Treatment Options for Refractory Hypotension

Use of Inotropic Agents

In cases of refractory hypotension where standard treatments are insufficient, positive inotropic agents may be required. Commonly used medications include dopamine, dobutamine, epinephrine, and norepinephrine. These drugs work by enhancing cardiac output and constricting blood vessels, thereby increasing blood pressure and maintaining organ perfusion.