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sweetnurseBBW -> RE: Sub Drop and Shock (Chills, Cramps) (9/18/2007 8:02:51 PM)
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quote:
ORIGINAL: Aswad
quote:
ORIGINAL: earthycouple
Of course if you truly believe you are in shock, you probably aren't because those in shock don't really realize it.
More like aren't generally aware enough to make sense of it, perhaps?
Not sure where the line is actually drawn; I once had a round of BP 50/30, cold and clammy skin, pallor, peripheral cyanosis, weak and unsteady pulse in the three digit range, shallow breathing, weakness, confusion, lethargy and nausea. I only fell unconscious when I tried to stand up and move about. I've generally pegged it as borderline shock.
That's why I tell the docs to be careful with stuff that lists circulatory collapse as an ADR.
However, coming down from endorphins seems more likely to raise the BP, doesn't it?
Health,
al-Aswad.
I agree with the first part because as an ICU nurse most people are unreposnsive or confused when in shock. If the endorphins have worn off then BP will return to normal or low because of lack of vasoconstriction due to lack of epi and noriepi.
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