Low blood pressure great neurological status? - page 3

by umcRN 5,410 Views | 22 Comments

Have a kiddo right now whose a little bit of a mystery and wondering if anyone else has ever seen something like this. Kiddo has been pretty sick for a few months, is now s/p a heart transplant, was finally on an upward curve a... Read More


  1. 0
    The first kid, I thought of adrenal insufficiency? I'd be interested to hear what happened. Impossible to determine the cardiac function if you can't cath/biopsy him, although I'm not sure why you couldn't. If he's sitting up coloring, he sounds well enough to biopsy.

    Did the steroid get cranked up at all to see if he became more responsive to vasoactive meds?
  2. 1
    Sadly this little one ultimately passed away about three months after I started this thread. Multiple organ failure. Toughest kid I've ever met or had the pleasure of taking care of. I learned a lot from this patient, both in nursing, medicine and how to enjoy life even if it appears you have no reason to. This little one will forever be in my heart.
    Esme12 likes this.
  3. 0
    Quote from ghillbert
    The first kid, I thought of adrenal insufficiency? I'd be interested to hear what happened. Impossible to determine the cardiac function if you can't cath/biopsy him, although I'm not sure why you couldn't. If he's sitting up coloring, he sounds well enough to biopsy.

    Did the steroid get cranked up at all to see if he became more responsive to vasoactive meds?
    Kiddo did ultimately get a cath that showed no obvious issues. Yes he may have been sitting up coloring but looking at him funny could throw him off the deep end, he was tough but exceptionally fragile at the same time.


Top