Quote:
Originally Posted by Ak68w
That's why it seemed so odd to me when the nurse said it; I always thouhgt hypotension was a sign of Anaphylaxis. As far as the Atropine goes, before he had mentioned it, I knew the name, I knew it was a beta blocker, and I knew it helped patients with uncontrollable tremors (i.e., Parkinsons) and certain over-productive glands. Beyond that, I knew nothing of the drug as far as emergency indications/contraindications, what exactly it does, etc. etc.
Now you said that histamine lowers not raises BP, under normal circumstances. Do you mean normal as in normal patients, or normal conditions? If the latter, what preparations and precautions should I as the medic take when my unit and I take to the field? And what should I do then if I find a hypertensive anaphylactic patient? Thank you for this info SS!
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hold on......IT IS NOT A BETA BLOCKER!!!!! please do some research on this!!
You should rarely if ever find a patient with hypertension and anaphylaxis. The 'under normal circumstances' means the majority of patients...not the ones on crack/meth/etc or medications that raise the BP. Again, read about the subject of anaphylaxis and atropine, it will do more for you than reading my posts, I'm just an ordinary trauma surgeon
ss
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'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )
Education is the anti-ignorance we all need to better treat our patients. ss, 2008.
The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
Last edited by swatsurgeon; 01-18-2009 at 21:24.
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