Why are patients with poorly controlled HTN prone to swings in BP?
HTN pt has increased SVR chronically, they’re hypovolemic when they come (even without being NPO) and get roller coaster ride on induction. How well we manage the volume status will help that. If you have a patient that’s hypotensive and has a decreased EF, can’t flood w/volume but in general volume helps us to increase preload (IV volume) to attenuate that. Increased preload to compensate for HoTN on induction. Better off titrating induction drugs carefully