#84063 - 01/27/07 02:18 PM
Re: Reaction to blood loss
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Veteran
Registered: 05/23/02
Posts: 1403
Loc: Brooklyn, New York
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Small amount that is used to be drawn for blood work should not affected your body as much unless you have circulation problem, low red blood cell count or your body baroreceptors (receptors that measure your pressure and rely info to the brain) are extremely sensitive. Usually symptoms you describe is when people loose a lot of blood. Certain volume of blood (6 liters) circulates your body. Red blood cells carry oxygen to the vital organs (brain, heart, lungs, renal system, etc, etc) and remove co2. Any time volume of blood gets affected few things will happen if brain senses that oxygen supplies are not being sufficient. First. your heart rate will increase to circulate blood faster. Remember now your volume is less so faster turn around should bring equilibrium back. But since now your heart rate is faster, heart which after all is a muscle has an increased demand for oxygen which means that your respirations will increase as well. Last thing that will happen is vasoconstriction which is term we use when your arteries and veins decrease their lumen (diameter) in order to increase the pressure that is already low due to the loss of blood. That's why people with severe blood loss are cold and sweaty. Little capillaries on the outside keep shutting off one by one keeping blood out of unimportant organs (like skin) and maintaining fluid supply to important stuff.
Being lightheaded, dizzy or tingling is normal when your brain has too little oxygen due to dropping supply secondary to blood loss. It is also the same way you feel when you hyperventilate or there is too much oxygen there (anxiety, panic attack, hyperventilation). What I assume may have happened is that you gave some blood, there was some drop in the volume, your body overreacted and out of the sudden your brain got little too much of the oxygen which caused dizziness and being lightheaded. Or just vasovegal response... Mind you this would be my vague explanation without me knowing you medical history, vital signs, etc..
Now to combat blood loss in the field is nearly impossible. First of all bleeding must be stopped (kind of hard to do for internal bleeding). There are no over the counter available products for us to replace lost blood. Short of blood transfusion there is nothing that can save you. In the field we pump people full of fluids to maintain their pressure and circulating volume but our fluids have no means to carry oxygen. If you are with somebody who suffered sever blood loss and they are going into shock and the ways to treat the socks are: lay them down flat, elevate their legs, keep them warm and provide with oxygen.
Adults metal status and reaction to blood loss is a steady down line. They progressively get worst until they crash. With children their bodies will compensate very nicely for a long period of time for blood loss (healthy heart and excellent circulation) until they cross a crash point and deteriorate in a matter of minute. It’s important to remember that because it is very easy to overlook a serious blood loss with the child,
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#84064 - 01/27/07 02:25 PM
Re: Reaction to blood loss
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Journeyman
Registered: 05/24/06
Posts: 88
Loc: Victoria Australia
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For many people it my be "all in their head" but we must remember that everyone reacts differently to many things, giving blood included. The first and only time I gave blood, I had sufficient iron in my blood and was not in the least squeamish about the sight of my own blood (I used to hold up my own vein for the doctors to take samples). However it took me over 1 week to recover, I had brain fog and felt lethargic. The exam I took the next day (yeah I know!!) was not at all difficult but I did rather poorly, it took me twice as long to come up with the answers, which is not normal. This for me was definately not psycological. I have not had this result with any of the tests that I have had since then either, some of up to five vials.
For most people it will not be a problem, however for a few, the loss of blood may trigger a reaction in something which is not normal with their bodies. It is easy for those who are in the medical profession to say that it is all psycological, which it is in many people, but without knowing everything about a person's body (which we can't) we should not say that it is only in their head.
Even the ancients knew that blood letting did some strange things sometimes. <img src="/images/graemlins/wink.gif" alt="" /> <img src="/images/graemlins/grin.gif" alt="" />
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#84065 - 01/27/07 03:21 PM
Re: Reaction to blood loss
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Addict
Registered: 07/04/02
Posts: 436
Loc: Florida
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Susan,
Nice Post! Thanks for taking the time to provide the links.
Regards, Comanche7
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#84066 - 01/27/07 03:28 PM
Re: Reaction to blood loss
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Geezer
Registered: 09/30/01
Posts: 5695
Loc: Former AFB in CA, recouping fr...
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Welcome TomP. Input from another member of the medical community will come in handy around here...
_________________________
OBG
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#84067 - 01/27/07 04:34 PM
Re: Reaction to blood loss
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Old Hand
Registered: 04/16/03
Posts: 1076
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Given the small amount of blood depletion you describe, I think the posters here who mentioned vasovagal response are correct. Remember too that different people will have different degrees of response to vasovagal stimulation. When we were practicing IV sticks in EMT class they had us pair up with a buddy and sit on either side of a small table. There was a pile of IV gear there and we took turns placing IV catheters. It didn't bother some folks at all, while others just about passed out. My partner was doing fine until the instructor came by and grabbed the catheter I had placed to see how well anchored it was. My buddy turned white and almost passed out...! <img src="/images/graemlins/shocked.gif" alt="" /> Here is a reasonably good overview of the vasovagal response.
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#84068 - 01/27/07 05:02 PM
Re: Reaction to blood loss
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Registered: 01/15/06
Posts: 26
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Thank you all for posting.
Some feedback:
Only a small quantity of blood was collected, so I probably was not feeling the effects of blood loss. <img src="/images/graemlins/blush.gif" alt="" />
I'm in good health, had a normal breakfast and was not squeamish about the procedure, or "the Needle" in particular. <img src="/images/graemlins/cool.gif" alt="" />
If it would be fear, would the body not react with constricting the vessels and elevating the blood pressure? <img src="/images/graemlins/smirk.gif" alt="" />
Whatever is causing the reaction, low blood pressure, sounds like a reasonable explanation. Next time I will try putting my head between my knees and/or crossing my ankles.
Regards,
B.
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