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Why anaphylactic patients are kept flat In anaphylaxis, histamine widens blood vessels and makes them leak fluid out of the circulation. Less blood fills a bigger space, and blood pressure falls. Sitting the patient up lets gravity pull the remaining blood into the legs. Venous return drops, and the ventricle can only pump what fills it. A sudden change in posture can cause cardiovascular collapse. JRCALC advises lying the patient flat, with the legs raised if hypotensive, and avoiding sudden ch
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