You are working with a Paramedic on a patient who is hypotensive after a gunshot wound that resulted in a significant bleed. The bleeding is now controlled but the patient's systolic blood pressure is still in the 80s. The Paramedic states that she does not want to give too much fluid after starting the IV. Why do you think this is so?
A. To better improve cerebral perfusion.
B. To not raise the blood pressure too high.
C. To prevent an increase in core temperature which can cause re-bleeding.
D. To make it easier for the heart to pump blood forward.
Answer: B. To not raise the blood pressure too high.
The body has a tendency to clot off its own injuries. However, these clots are also rather fragile an not very strong. If the blood pressure is raised too quickly (with IV fluids), the clot can read ff and the patient will start re-bleeding.
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