zzyzx Posted January 24, 2008 Posted January 24, 2008 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.
ccmedoc Posted January 24, 2008 Posted January 24, 2008 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:
dahlio Posted January 25, 2008 Posted January 25, 2008 What is PEARL?? :?: 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...
ERDoc Posted January 25, 2008 Posted January 25, 2008 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).
mobey Posted January 25, 2008 Posted January 25, 2008 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?
ccmedoc Posted January 26, 2008 Posted January 26, 2008 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.
ccmedoc Posted January 26, 2008 Posted January 26, 2008 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:
hammerpcp Posted January 26, 2008 Author Posted January 26, 2008 Well.....this was a pretty anticlimactic scenario wasnt it? Funny cuz when I was tested on it a few things through me for a loop. Would anyone shock this rhythm?
ccmedoc Posted January 26, 2008 Posted January 26, 2008 Narrow complex tach with no pulse....No...I would not shock..PEA ??
firedoc5 Posted January 27, 2008 Posted January 27, 2008 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.
Recommended Posts