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|Elastic stockings
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* Reduce venous pooling in the splanchnic and mesenteric circulations.
|
* Elastic stockings expanding up to the waist are recommended.
* Leg compression alone is not considered effective.
** Due to the minor venous capacitance of legs relative to the abdomen.
* Separate abdominal and leg compression is recommended to avoid patient's discomfort.
|-
|Physical Maneuvers
|
* Transiently increase venous return and peripheral vascular resistance
|
* Contraction of a group of muscles
* Leg-crossing
* Toe raising
* Bending at the waist
|-
|Head up tilt sleeping
|
* Enhance orthostatic tolerance upon the first-morning rise
|
* Results in reduction in supine hypertension, pressure-natriuresis
|-
|Intravascular volume
|
* Tubular loss of salt and fluid
* Decreased vascular tone creates relative hypovolemia
|
* Volume expansion can alleviate symptoms even in the presence of normal intravascular volume.
** 2 liters of water and 6 g of salt
** Twenty-four-hour urine collection is helpful to guide treatment and follow-up
|}
Tables
Tables

Revision as of 00:33, 16 August 2020


Elastic stockings
  • Reduce venous pooling in the splanchnic and mesenteric circulations.
  • Elastic stockings expanding up to the waist are recommended.
  • Leg compression alone is not considered effective.
    • Due to the minor venous capacitance of legs relative to the abdomen.
  • Separate abdominal and leg compression is recommended to avoid patient's discomfort.
Physical Maneuvers
  • Transiently increase venous return and peripheral vascular resistance
  • Contraction of a group of muscles
  • Leg-crossing
  • Toe raising
  • Bending at the waist
Head up tilt sleeping
  • Enhance orthostatic tolerance upon the first-morning rise
  • Results in reduction in supine hypertension, pressure-natriuresis
Intravascular volume
  • Tubular loss of salt and fluid
  • Decreased vascular tone creates relative hypovolemia
  • Volume expansion can alleviate symptoms even in the presence of normal intravascular volume.
    • 2 liters of water and 6 g of salt
    • Twenty-four-hour urine collection is helpful to guide treatment and follow-up

Tables