akroeze Posted October 31, 2007 Author Share Posted October 31, 2007 I would suggest there are some things to do before you start pushing the meds. I'm surprised nobody else is jumping in on this scenario. Link to comment Share on other sites More sharing options...
AnthonyM83 Posted October 31, 2007 Share Posted October 31, 2007 Does she still have cyanosis to the legs? What are the skin signs? Link to comment Share on other sites More sharing options...
akroeze Posted October 31, 2007 Author Share Posted October 31, 2007 The skin is unchanged. Link to comment Share on other sites More sharing options...
AnthonyM83 Posted October 31, 2007 Share Posted October 31, 2007 Precordial thump? I'm dry. Anyone else? Link to comment Share on other sites More sharing options...
akroeze Posted October 31, 2007 Author Share Posted October 31, 2007 And of course confirm pt still has a pulse. The patient still has a pulse, you look at her and she doesn't appear to have changed physically. She is still looking at you. HR: 128 SpO2 is now 98% on NRB BP unchanged Link to comment Share on other sites More sharing options...
AnthonyM83 Posted October 31, 2007 Share Posted October 31, 2007 No, I'm not done, on second thought. Would you intubate in this case? She's still conscious...but seems to be passing good air (based on scenario responses), so unless she has an upper airway obstruction not sure how much it would help. You could assist ventilations? Possibly DKA as well as septic, but not much we can do other than fluids (already being administered), I think...Recheck sugar. Auscultate heart sounds? Does she have something physical around her legs blocking circulation? Anyone else? Link to comment Share on other sites More sharing options...
akroeze Posted October 31, 2007 Author Share Posted October 31, 2007 Not bad thoughts but I'll say right now that this is a twist case. All is not that meets the eye. Let's see what some of the others think. Link to comment Share on other sites More sharing options...
thecroc Posted October 31, 2007 Share Posted October 31, 2007 thats a great Scenario so far i would do the same as AnthonyM83 and i would have the defib ready just in case. and cpap Link to comment Share on other sites More sharing options...
p3medic Posted October 31, 2007 Share Posted October 31, 2007 can I see this in 12lds? Link to comment Share on other sites More sharing options...
akroeze Posted October 31, 2007 Author Share Posted October 31, 2007 can I see this in 12lds? Sure thing! Link to comment Share on other sites More sharing options...
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