B Emergencies
You are transporting a 19 y/o female who is primagravida and primapara who complains of a headache. Her EDC (due date) is in two months. She is not wearing any rings and wearing flip flops in November with a temperature of 65 degrees outside. Her pulse is 66 strong and regular, normal respirations and a BP of 180/100 with no previous history of HTN. She has no allergies and takes prenatal vitamins to include Folic Acid and Iron. She denies cramping nor vaginal discharge/bleeding. While on your 20 minute transport, she begins to seize with full tonic-clonic movements.
Include in your post: Because of the findings about her blood pressure (hypertension) medical control will need to be notified to inquire about the possible use …show more content…
From the Latin Primus- Meaning First and Gravidus – Meaning Pregnant
• Primapara – Term used to describe a female who is giving birth for the first time. Also from the Latin Primus¬ – Meaning first and Parere/Parus – Meaning bringing …show more content…
• With this case one can only assume that the patient is not married; that fact can be deduced by the lack of wedding or engagement ring, by her not wearing shoes we can also assume that she is either homeless or of a low income bracket. Without making accusations or assumptions ruling out prostitution is not out of the picture, we will need to check for drug usage marks,
Your treatment to stabilize her BP and stop the seizure (include dose and routes)
• Magnesium sulfate: 1- 4 g IV/IO over 3 minutes, followed by a 2 g/h IV drip (maximum of 30-40 g/day). This drug is an electrolyte that reduces the striated muscle contractions and blocks peripheral neuromuscular transmissions by reducing acetylcholine release at the myoneural junction, it manages seizures in pregnancy (eclampsia) and causes uterine relaxation.
Explain the meds you chose to use and whether or not they cross the placental barrier
Present any risks with the fetus in the host
You are transporting a 19 y/o female who is primagravida and primapara who complains of a headache. Her EDC (due date) is in two months. She is not wearing any rings and wearing flip flops in November with a temperature of 65 degrees outside. Her pulse is 66 strong and regular, normal respirations and a BP of 180/100 with no previous history of HTN. She has no allergies and takes prenatal vitamins to include Folic Acid and Iron. She denies cramping nor vaginal discharge/bleeding. While on your 20 minute transport, she begins to seize with full tonic-clonic movements.
Include in your post: Because of the findings about her blood pressure (hypertension) medical control will need to be notified to inquire about the possible use …show more content…
From the Latin Primus- Meaning First and Gravidus – Meaning Pregnant
• Primapara – Term used to describe a female who is giving birth for the first time. Also from the Latin Primus¬ – Meaning first and Parere/Parus – Meaning bringing …show more content…
• With this case one can only assume that the patient is not married; that fact can be deduced by the lack of wedding or engagement ring, by her not wearing shoes we can also assume that she is either homeless or of a low income bracket. Without making accusations or assumptions ruling out prostitution is not out of the picture, we will need to check for drug usage marks,
Your treatment to stabilize her BP and stop the seizure (include dose and routes)
• Magnesium sulfate: 1- 4 g IV/IO over 3 minutes, followed by a 2 g/h IV drip (maximum of 30-40 g/day). This drug is an electrolyte that reduces the striated muscle contractions and blocks peripheral neuromuscular transmissions by reducing acetylcholine release at the myoneural junction, it manages seizures in pregnancy (eclampsia) and causes uterine relaxation.
Explain the meds you chose to use and whether or not they cross the placental barrier
Present any risks with the fetus in the host