cfaulknor Posted October 21, 2008 Posted October 21, 2008 Dispatched to a 17 y/o female, unresponsive. Arrive on scene about 4 minutes later to find patient seated in a chair. Per patient and family, patient was doing her makeup in the bathroom and passed out. Patient is sitting in a chair now, conscious, but nodding off repeatedly, even in the middle of speaking. What do you want to know/what do you want to do?
Arizonaffcep Posted October 21, 2008 Posted October 21, 2008 Vitals, Hx, Meds, Alergies for starters, SAMPLE, etc. Heart rythm (from monitor), 12 lead if available. FSBS.
cfaulknor Posted October 21, 2008 Author Posted October 21, 2008 B/P 114/78, RR 16 N/L, BLG 119 mg/dl, Sinus Tach at 106, eyes look slightly glazed over, coherent and able to answer questions but literally falling asleep while she is talking... No medical history, other than being a "borderline diabetic." NKA, no medications
firedoc5 Posted October 21, 2008 Posted October 21, 2008 Somebody slip her a "mickey"? Any freelance pharmaceuticals, mom's valium? Vicodin? Any new make up products? ETOH? Any food allergies? Any abd. pain or headache? When she "nods" off, what are her resp. like? Does she "awaken" slowly or as being startled? Slurred speech? Aggitated?
cfaulknor Posted October 21, 2008 Author Posted October 21, 2008 No evidence of drugs anywhere nearby... slept last night, didn't go anywhere the day before... awakens as if being startled... reminded me of a tired driver... starts to slip, then quickly comes back when they realize they're falling asleep
firedoc5 Posted October 21, 2008 Posted October 21, 2008 When and what was the last thing she ate/drank? And the ever so popular question, pregnant?
reaper Posted October 21, 2008 Posted October 21, 2008 Any family hx on moms side of Narcolepsy? That is about the age it starts to show signs.
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