BPby anony (no login)A single BP measurement would have little value in predicting the patient would arrest while injecting a toe. If the BP were 205/115 it might indicate a heightened sympathetic tone which can accompany an evolving MI. The real information is obtained in the history. Does the patient have risk factors for CAD? Htn is a risk factor. And there are many others Now, if your patient had an elevated BP and you used a local with epi then that could further elevate myocardial wall tension and have a negative effect on myocardial oxygen supply and demand. If there was no epi used I would say that the patient was unlucky enough to have an MI and in your example an arrythmia that lead to circulatory arrest. Just because it happened while he was having a toe worked on is just bad timing. Podiatrists do not have the training to do an H&P to evaluate the patient's overall health. from IP address 63.189.192.11 Goto Forum Home |
| Response Title | Author and Date |
| Re: BP | Anonymous on Feb 25, 5:51 PM |
| Rebuttal | Edmun Burke on Feb 25, 10:42 PM |
| rerebuttal | anony on Feb 26, 7:37 PM |
| Are you serious? | on Feb 27, 6:16 PM |
| reread my message | anony on Feb 28, 8:01 AM |
| Standard of Care | Edmun Burke on Feb 28, 11:24 AM |
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