Bradycardia

[bdoss2006]

Does internal bleeding cause bradycardia? I would assume it would cause tachycardia. A patient I had today had me confused.

 

[E tank]

Does internal bleeding cause bradycardia? I would assume it would cause tachycardia. A patient I had today had me confused.

Medications? Medical history? Physical exam?

 

[Jn1232th]

Tachycardia initially. If bleeding is extensive and cardiac output suffers then bradycardia can result which is a late sign.
But med history/ and medications and presentation will be needed as well

 

[bdoss2006]

I think she wound up having ileus but when I told an aemt I work with that she was hypotensive, bradycardic, and had severe abdominal pain she said it sounded like internal bleeding.

 

[ffemt8978]

You're not giving us any information that would help in determining what's going on (vitals, history, meds, etc)...just your assessment and guesses.

 

[Akulahawk]

Does internal bleeding cause bradycardia? I would assume it would cause tachycardia. A patient I had today had me confused.

Patients rarely present with super simple problems and have absolutely no other medical history. Medications, past medical problems, street drugs, and a bunch of other factors can all have effects upon how they'll present to you. Keep assessing your patients, look at their meds, their histories, and the like, and perhaps even take an A&P course and along the way, you'll start putting the pieces together and have a reasonable understanding of what's going on with your patients. If you lack knowledge and you don't look further into things, your patients will continue to confuse you.

Your understanding of hemorrhage isn't necessarily wrong... but perhaps your understanding of that specific patient may be quite incomplete.

 

[ChristopherM]

I think she wound up having ileus but when I told an aemt I work with that she was hypotensive, bradycardic, and had severe abdominal pain she said it sounded like internal bleeding.

Is it possible to follow up formally with your medical director or educator? I find this is always extremely helpful on cases you have questions about. If you could obtain a more detailed HPI and information on the pt's hospital course it might give you some good directions of study.