Shock Associated With Barbiturate Intoxication

摘要: The patient who is admitted to the hospital with clinical signs of shock after barbiturate intoxication characteristically in a state deep coma. Corneal and tendon reflexes are absent pupillary response light minimal. rectal temperature reduced levels averaging only 95 F (35 C), skin cool ventrum great toes 79 (26 C). 1 earlobes, nose, or fingers often cyanotic, reflecting marked impairment ventilation. A modest increase heart rate usually observed, but rates excess 130 beats per minute uncommon. systolic blood pressure typically less than 80 mm Hg. However, values obtained sphymomanometer 10 20 Hg those on direct measurement insertion