ffemt101986
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So I don't usually post anything on here but I figured this one was worthy of getting others opinions.
We were called at about 2200 for a female pt suffering from a seizure. Arrived to find a 49yo female lying in bed with uncontrolled jerking and twitching of her extremities and neck. Pt was CAOx4 and had a complaint of back pain earlier in the evening with severe back and neck pain present at the time of pt contact. Pt has a history of depression, anxiety, Bipolar and suicidal attempts and a smorgasbord of medications to go along with it. The big ones being Haldol, lithium and Geodon. Her husband stated there was no way she could have overdosed on any medication because they are locked up and he has had the only key on him all evening. Pt has a B/P of 156/92, Pulse of 116 strong and regular showing sinus tach on the monitor with quite a bit of artifact due to the jerking. Blood sugar of 156 and resp rate of 26 and labored and an O2 sat of 98% on room air. Im going to open myself up for criticism and admit to going all "Ambulance Driver" on this one. I did some research and think ive got it figured out and am kicking myself the *** now, but I want some other opinions.
We were called at about 2200 for a female pt suffering from a seizure. Arrived to find a 49yo female lying in bed with uncontrolled jerking and twitching of her extremities and neck. Pt was CAOx4 and had a complaint of back pain earlier in the evening with severe back and neck pain present at the time of pt contact. Pt has a history of depression, anxiety, Bipolar and suicidal attempts and a smorgasbord of medications to go along with it. The big ones being Haldol, lithium and Geodon. Her husband stated there was no way she could have overdosed on any medication because they are locked up and he has had the only key on him all evening. Pt has a B/P of 156/92, Pulse of 116 strong and regular showing sinus tach on the monitor with quite a bit of artifact due to the jerking. Blood sugar of 156 and resp rate of 26 and labored and an O2 sat of 98% on room air. Im going to open myself up for criticism and admit to going all "Ambulance Driver" on this one. I did some research and think ive got it figured out and am kicking myself the *** now, but I want some other opinions.