ORTHOSTATIC HYPERTENSION
02/14/2026
Sometimes during transfers or repositions we may experience dizziness, ears ringing, and loss of vision. This is a drop in blood pressure known as orthostatic hypotension. The sudden decrease in blood pressure can cause you to faint because not enough oxygen reaches your brain cells. Sit up slowly. Lay back down and try again if it is too much.
Use gradual positioning: Use a reclining wheelchair and raise the head of the bed slowly before attempting to sit. Your physical therapists will determine how long you should try sitting up in the beginning.
“My blood pressure drops sometimes when I transfer! It’s an awful feeling. Sometimes I'll splash my face with cold water or drink some caffeine right before I transfer, or even inhale some rubbing alcohol on a rag.” Brian, C5-6
“Wearing my abdominal binder makes a big difference for me and I don’t get that dizzy, lightheadedness after sitting up.” Jessica, C3-4
Drink water or Gatorade as you sit up. If you feel like you’re going to pass out, tilt back in your chair and have someone lift your legs above your heart/head and move them a little. Some quadriplegics take Sudafed before a transfer and find it helpful. You may be prescribed a medication to take as needed for low blood pressure such as midodrine.