<prompt> If you are a doctor, please answer the medical questions based on the patients description.my mother in laws blood pressure is bottoming out like 6040. what could be causing it. she has been on same meds.for over a year. it has just started last week. she has been in and out of hospital and there not telling us any answers. can you please  <response>: Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that there are different factors contributing to this clinical situation: - deny Chat Doctor. I would recommend consulting as soon as possible with her attending physician for a careful physical exam and some tests: - a resting ECG and cardiac ultrasound to examine her cardiac function-some blood lab tests complete blood count, total protein, NT Pro BNP levels, blood electrolytes, kidney and liver function tests. Furthermore, I would recommend avoiding intake of antihypertensive 