dahlio Posted January 18, 2008 Share Posted January 18, 2008 Whoa, Spenac, both of our posts were at 4:01, you must have beaten me by a couple of seconds. Link to comment Share on other sites More sharing options...
emt322632 Posted January 18, 2008 Share Posted January 18, 2008 Also let's get a BGL, O2, IV, monitor....has she been seeing an OB/GYN during her pregnancy, if so have they told her of any potential complications? Any family hx of pregnancy complications? What pregnancy is this for her? Link to comment Share on other sites More sharing options...
spenac Posted January 18, 2008 Share Posted January 18, 2008 Whoa, Spenac, both of our posts were at 4:01, you must have beaten me by a couple of seconds. Maybe even 59 seconds. :wink: Link to comment Share on other sites More sharing options...
hammerpcp Posted January 18, 2008 Author Share Posted January 18, 2008 Pt has had severe headache since yesterday afternoon. The abdo pain and headache both started this morning, approx two hours ago. She describes the abdo pain as constant and severe stabbing type pain in lower quadrants. There is no facial droop but pt is feeling dizzy and nauseous. VS BP180/94 HR 120 sinus tach SpO2 96% on O2 CBG 2.5 mmol/L (norm range is 3.6 - 6.8 ) PEARL skin as above Link to comment Share on other sites More sharing options...
MedicNorth Posted January 18, 2008 Share Posted January 18, 2008 Still want to know about PMS, grip, to rule out stroke Link to comment Share on other sites More sharing options...
emt322632 Posted January 18, 2008 Share Posted January 18, 2008 Is she normally hypertensive? Any visual disturbances with the headache? I'm thinking pre-eclampsia here...not a good thing. Any history of pre-eclampsia during pregnancy in her family? Link to comment Share on other sites More sharing options...
hammerpcp Posted January 19, 2008 Author Share Posted January 19, 2008 Equal grip strength. Only medical history is cholecystitis 2 years ago. No prenatal care. Link to comment Share on other sites More sharing options...
dahlio Posted January 19, 2008 Share Posted January 19, 2008 Just thought of this, Does the patient have an urge to push? What is CBG? I'm a :sign2: Link to comment Share on other sites More sharing options...
hammerpcp Posted January 20, 2008 Author Share Posted January 20, 2008 CBG is still 2.5 mmol/L. Pt goes into seizure. Link to comment Share on other sites More sharing options...
medibrat Posted January 20, 2008 Share Posted January 20, 2008 First line of treatment: O2, then large bore IV, NS, D50 25g...(before she had the seizure of course). If I miss it, slam the 1cc glucagon. What's her ecg show? Brat :angel8: ps. is there family around? does she have history of seizures? Link to comment Share on other sites More sharing options...
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