Jump to content

When do I start to panic?


hammerpcp

Recommended Posts

Well, in that case, I would immediately do an emergency c-section.

No, no, just kidding.

Just work up the code like any other. Consider the hypertension, edema, and her symptoms, obviously we'd be thinking that she is eclamptic.

Link to comment
Share on other sites

  • Replies 63
  • Created
  • Last Reply

Top Posters In This Topic

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

What is PEARL?? :?:

To convert mmol/L to mg/dl....multiply mmol/L times 18..FYI for the Americans:lol:

Link to comment
Share on other sites

Short for "Pupils are Equal And Reactive to Light"

And when I asked before what's CBG, I didn't mean a diagnostic, I meant, what does it mean.

We're all learning here...

I think you mean PERRL or PERRLA. Pupils Equal, Round, Reactive to Light (and Accomodation, few people truly know what accomodation means).

Link to comment
Share on other sites

I think you mean PERRL or PERRLA. Pupils Equal, Round, Reactive to Light (and Accomodation, few people truly know what accomodation means).

Ya I'm one of them, although I have seen it written I hav no idea what accomodation means.

Care to share a definition?

Link to comment
Share on other sites

Ya I'm one of them, although I have seen it written I hav no idea what accomodation means.

Care to share a definition?

While assessing vision and cranial nerve function, one of the tests would be to hold a pen or finger about 12" from the tip of the nose and have the patient focus on this point. Both eyes should converge equally and pupils should constrict slightly. After a few seconds, have the patient focus on a point on a distant wall..10 feet or so away...like a picture or prepositioned tape line. The pupils should dilate back to normal and the eyes return to midline..equally. This is known as accommodation and I have seen the test in either order..far to near or near to far. Often, it is easier to have the patient focus on a far object first an then focus on a penlight of pen...

The absence of constriction, convergence, dilation, or an asymmetric response should be noted and reevaluated.

Link to comment
Share on other sites

And when I asked before what's CBG, I didn't mean a diagnostic, I meant, what does it mean.

We're all learning here...

I'd have to say capillary blood glucose level...just sayin?? :wink:

Link to comment
Share on other sites

To answer the question of the topic, "When to panic?" NEVER, at least not until patient is in care of ER or OB. Find a closet or something, have a episode for about three minutes. Straighten yourself up, go on. Next call, please.

Link to comment
Share on other sites


×
×
  • Create New...