ICU nurse here! Here’s some that people honestly don’t think about:
1. High blood pressure. As your blood pressure continues to be elevated your body adapts so you don’t feel the side effects meanwhile your arteries are just waiting to burst. I’ve had patients with a BP of 230/110 and be like “that’s where I’m usually at” with no headaches or anything. F*****g wild. A cough/sneeze away from a hemorrhagic stroke.
2. Diabetes. Same thing with BP. I have patients who live in the 400-500 and when I bring their sugars to 200 they become symptomatic for hypoglycemia because their body is so accustomed to hyperglycemic states, that trying to bring it to normal makes them feel all the classic hypoglycemic symptoms. It destroys your arteries and veins too because your blood becomes molasses and the sugar compounds are “sharp” and can cause microvascular cuts and tears.
3. Changes in bowel habits: this can be a plethora of causes ranging from bacterial/viral/parasitic causes, to cancer, to bowel obstruction (had a patient with a severe ileus and was vomiting feces), etc. Also had a friend who had one of the GI surgeries for weight loss, started having abnormal bowel habits a year later, ended up with a volvulus and by the time they caught it he was full blown MODS and died 24 hours later.
4. Atrial fibrillation. Patients just think it’s an abnormal heart rhythm but it can cause so many f*****g problems. It can cause your heart to create clots and throw them into *any* artery. Most common is heart attack and stroke but any artery is susceptible to infarction. Had a guy die in my ICU, uncontrolled a fib, threw a clot to the mesenteric artery, caused his bowel to die, eventually his bowel ruptured and died of MODS.
5. Melanoma. Can be very malignant and stealth. Very important to get yearly skin checks, wear sunscreen, and early treatment.
1. High blood pressure. As your blood pressure continues to be elevated your body adapts so you don’t feel the side effects meanwhile your arteries are just waiting to burst. I’ve had patients with a BP of 230/110 and be like “that’s where I’m usually at” with no headaches or anything. F*****g wild. A cough/sneeze away from a hemorrhagic stroke.
2. Diabetes. Same thing with BP. I have patients who live in the 400-500 and when I bring their sugars to 200 they become symptomatic for hypoglycemia because their body is so accustomed to hyperglycemic states, that trying to bring it to normal makes them feel all the classic hypoglycemic symptoms. It destroys your arteries and veins too because your blood becomes molasses and the sugar compounds are “sharp” and can cause microvascular cuts and tears.
3. Changes in bowel habits: this can be a plethora of causes ranging from bacterial/viral/parasitic causes, to cancer, to bowel obstruction (had a patient with a severe ileus and was vomiting feces), etc. Also had a friend who had one of the GI surgeries for weight loss, started having abnormal bowel habits a year later, ended up with a volvulus and by the time they caught it he was full blown MODS and died 24 hours later.
4. Atrial fibrillation. Patients just think it’s an abnormal heart rhythm but it can cause so many f*****g problems. It can cause your heart to create clots and throw them into *any* artery. Most common is heart attack and stroke but any artery is susceptible to infarction. Had a guy die in my ICU, uncontrolled a fib, threw a clot to the mesenteric artery, caused his bowel to die, eventually his bowel ruptured and died of MODS.
5. Melanoma. Can be very malignant and stealth. Very important to get yearly skin checks, wear sunscreen, and early treatment.