Quote from Dixiedi
Did I say it was an early sign? As a matter of fact I mentined it is sometimes the first stage the nurse sees becasue stool has been flushed. Flushed. Past tense. THe tarry stool has been goiong on for a while unnoticed. DAH
I apologize if I have offended you, Dixiedi. That was not my intention. Your post seemed a bit unclear, at least to me.
I pray that if I had a hemorrhaging GI bleed r/t corticosteroid therapy that the "FIRST STAGE THE NURSE SEES" is not a low BP. The outcome of hypovolemic shock based on this finding is poor to say the least as the body's compensatory mechanisms are beginning to fail. There are much more obvious s/s that are occurring besides tarry stools, i.e. pallor, dizziness, lethargy, confusion, hypoactive BS (no BMs then), low H&H, rigid abdomen, the list goes on.
As a matter of fact, if the patient is on steroid therapy they may not display hypotension until very, very late in the game as steroids are known to have a vasopressive effect resulting in hypertension.
Just wanted to clarify my thoughts as you felt you needed to clarify yours. Good luck in school! :wink2: