there are many things that go into the decision making process. how old is the patient. what comorbidities exist. what are the baseline pre-op vitals. what was the ebl in the or.
i am a little concerned about the b/p being low as, for me, the patient is showing symptoms of hypotension (low blood pressure (hypotension): symptoms - mayoclinic.com
) from possible hypovolemia (low circulating blood volume) mixed with the vasodilation caused by the morphine. the shivering then would be caused by the bodies attempt to maintain adequate b/p by shivering causing vasoconstriction and skeletal muscle activation.....in a fight flight auto-regulation mechanism. true post op shivering that is caused by anesthesia is in the immediate emergence(recovery) phase from anesthesia.
now the patient may have just been having a fight flight response because you just inserted a tube into the most sensitive part of the anatomy on the male body, causing that response and intense fear and catecholamine release causing the shivering, shallow breathing. http://learn.genetics.utah.edu/conte...ay-by-play.pdf
as well as vagal response, fear response from the insertion of the foley, draining of a liter of urine from the bladder or having a full bladder and vagal from pain alone.
what are the treatment options for post-operative shivering?
drug information group
if the patient is a normal healthy male aged 20-40, i would have been concerned about the low b/p and my concern would have been hypovolemia. he did have almost a liter of urine in his badder, so true hypovolemia was an unlikely cause. the shivering is very real, however, i would make sure the patient is pain free, give warm blankets, reassure the patient they are fine and remind them that narcotics can cause dizziness. i would monitor the patient closely for u/o and vitals to be sure they are not in need of volume.