POSITION TIME BP ASSOCIATED SYMPTOMS
Lying Down 5 Mins.
BP____ /_____
HR__________
Standing 1 Min.
BP____ /_____
HR__________
Standing 3 Mins.
BP____ /_____
HR__________
2017
ASSESSMENT
Measuring
Orthostatic
Blood Pressure
1 Have the patient lie down for 5 minutes.
2 Measure blood pressure and pulse rate.
3 Have the patient stand.
4 Repeat blood pressure and pulse rate measurements
after standing 1 and 3 minutes.
A drop in BP of ≥20 mm Hg, or in diastolic BP of ≥10 mm Hg, or
experiencing lightheadedness or dizziness is considered abnormal.
Patient
Date
Time
AM PM
CDC’s STEADI tools and resources can help you screen, assess, and intervene to reduce
your patient’s fall risk. For more information, visit www.cdc.gov/steadi
Centers for Disease
Stopping Elderly Accidents,
Control and Prevention
2017
Deaths & Injuries
National Center for Injury
Prevention and Control
2017
