- Especially poorly controlled hypertensive patients.
- A “sudden” NORMAL BP could mean compensated shock
- Even for normal person, do not exclude compensated shock because BP is “normal” !
- Osmotic diuresis paves the way for dehydration !!
- Lower baseline Hct, so Hct in dehydrated pregnant patients maybe magically “normal” !
- Due to progestogen induced vasodilation, baseline DBP is lower, especially in 2nd trimester. The pulse pressure may not even get narrow to be in shock !