BP 80/60 can be dangerous, especially if it is new or accompanied by symptoms. Treat as possible shock. Call your local emergency number now if there is fainting, confusion, chest pain, shortness of breath, cold/clammy skin, severe weakness, heavy bleeding, fever, allergic swelling/wheezing, or reduced responsiveness.
While waiting for help:
- Lay the person flat on their back. Raise legs about 20-30 cm only if no injury to the head, spine, pelvis, or legs, and no breathing difficulty.
- Keep them warm with a blanket. Loosen tight clothing.
- Check responsiveness and breathing. If unconscious but breathing, place them on their side. If not breathing normally, start CPR and use an AED if available.
- Control any visible severe bleeding with firm direct pressure.
- Do not give alcohol, blood-pressure medicines, sedatives, or food/drink. Do not let them stand or walk.
- If they have a prescribed adrenaline auto-injector for a known severe allergy and have signs of anaphylaxis, use it immediately, then call emergency services.
A reading can be less concerning in a person who normally runs low only if they feel completely well, but 80/60 with symptoms or a sudden drop requires urgent assessment. In hospital, management depends on cause and may include IV access, fluids, oxygen when needed, blood tests/ECG, treatment of bleeding, infection, allergy, heart rhythm problems, etc. Do not try IV fluids or injectable medicines at home.
The
Red Cross shock guidance advises immediate emergency care for signs of shock.