I had a call yesterday for a seizure. When we got there, we found a posdictal male patient laying on the floor. Staff stated that he had been having focal seizures for about 45 minutes before he ended up having a grand mal seizure. His caretaker, told us that the patient was deaf, mute, mildly mentally retarded and knew limited sign language.
I did my work up and when I poked him for the IV, he had a very strong pain reflex and I lost the site. I erred on the side of caution, as his vital signs were fairly stable, elevated but stable, to not try for another IV. I am glad I didn't. O