OK....keeping things simple
res-26,pul-116 sinus tach,b/p-190/100, ls clear,skin-p/h/d,
n and v, dizziness, 2 weeks menstruation
based off of the info given thus far I'm going to have to start an infection of some kind.
i would need to ask more about some possible exposure issues.....where does she work, what does the house look like, her hygiene and appearance, what are her habits......
how does her abd present, any tenderness, masses, any discharge noted
what are her orthostatci v/s? need a d-stick
I'm also wondering if she is just lying still or any rocking back and forth?
any noted rash, can she touch her chin to her chest?
at this point it could be so many different issues to choose from, to make a guess. my thoughts go from the dreaded meningitis (which may be the easy answer i think....ace, lol), but how about appendicitis that has exploded long ago. for now I'm sticking with infection of unknown origin.
I'm going to transport als, because that's what we do here...period, i don't have any other options
treatments for now are going to be : iv, EKG, o2, trans in poc, and wait for further info