Approach to Shock Part 2: Blood Pressure vs Tissue Perfusion

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Ian L., Dr -

Blood Pressure measurement is not static it needs to be measured over time .
A 80 year old dropping blood pressure from 130/90 lying when well to 90/60 with fever and cough increased respiratory rate well above basal rate and altered mentally has very likely poor perfusion .

Capillary refill also needs measure from basal to when sick and can be dicey with age (dry thin skin)
Peripheral vascular disease .

Sara Crager -

You make an excellent point that should be strongly emphasized here. Absolutely agree that closely watching the trend in your patient's numbers is FAR more useful that a single set of measurements, especially if you have any baseline information about the patient to further help you put the data in context. Reassessment, reassessment, and more reassessment.

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