What is the first intervention for a hypotensive patient?

In the scenario of a hypotensive patient, the first intervention typically involves administering intravenous fluids. The rationale behind this approach is that hypotension can often be a result of inadequate intravascular volume, which leads to decreased cardiac output and ultimately reduced blood pressure. By providing a fluid bolus, usually starting with 250 ml, you can help to quickly expand the intravascular volume, potentially improving circulation to vital organs and stabilizing the blood pressure.

The choice of fluid bolus as the initial intervention is consistent with basic life support principles and emergency protocols, where fluid resuscitation is prioritized to address potential hypovolemia. This immediate response is crucial, especially in cases of shock where maintaining perfusion is critical. Other interventions such as medications or procedures may be warranted later, but fluid administration is a foundational step in managing hypotension.