What is the most serious potential complication of C.W.'s ...

[asmith134]

What is the most serious potential complication of C.W.'s bleeding?
 
  Also can you calculate C.W's mean arterial pressure (MAP) and explain why this measure is important.

Question 2

From his history and assessment, identify five signs and symptoms (S/S) of GI bleeding and loss of blood volume.
 
  What are they? Anyone can help?

[ambernicolefink]

Answer to Question 1

Hypovolemic shock that could lead to renal failure or even death

His BP was 98/52. The formula for MAP is:
MAP = (SBP +2DBP)  3
MAP = (98 +52+52)  3;MAP = 202  3 = 67.3mmHg

A MAP greater than 60 mm Hg is needed to perfuse and sustain vital organs under normal
conditions. Vital organs will be underperfused and become ischemic if the MAP falls below 60 for a
considerable amount of time.

Answer to Question 2

 Three-day history of diarrhea
 Dark red blood visible in the stool
 Dizziness and disorientation, and pale skin because of inadequate perfusion of the cerebral cortex
 Weakness because of inadequate O2 tissue perfusion
 Severe hypotension, a direct result of volume loss
 Tachycardia, in compensation for hypotension
 Increased respiratory rate, in compensation for inadequate tissue perfusion

[asmith134]

Thank you

[ambernicolefink]

No problemo