The precursors of a dying patient mainly include the gradual disappearance of vital signs, aggravation of symptoms of the original disease, and gradual aggravation of impaired consciousness, etc. The doctor should not decide on his own whether the patient is dying or not. Whether a patient is dying or not needs to be judged by the doctor according to the patient’s specific situation, and should not be decided by oneself.
1. Gradual disappearance of vital signs. Before the patient’s death, the main signs are slowing pulse and heart rate, decreasing blood pressure, slowing respiration, strong to weak respiratory sounds, mandibular respiration, and gradual dilation of the pupils, until all vital signs stop.
2. Symptoms of the original disease are aggravated. For example, patients with renal failure and liver cancer have obvious swelling of face and limbs that gradually worsens.
3. Gradual aggravation of consciousness disorder. The patient gradually develops consciousness disorder, the process can be drowsiness, drowsiness gradually transitioned to different degrees of coma, and finally manifested as coma, not being able to call out, not being able to be awakened by strong stimulation, incontinence of both bowels and stools.