CCS Case

[Asclepius1]

38 week pregnant, brought with seizure, high bp
ok this is how i approach
SUCTUIN THE AIRWAY+/- ....DEPEND ON HOW IS THE PT NOW
ivacc
nss
puls oxy
o2
continue cardiac/bp monitoring

PE( NEURO,HEENT,LUNG CORD, EXT, ABD)

THE GOAL IS TO INDUCE THE PT, LOWER THE BP, CONT THE SEIZURE


MG SO4
HYDRALAZIN
OXYTOCIN
CBC
BMP
LFT
PT/PTT
FIBRINOGEN SPLIT PRODUCT
FIBRINOGEN
UA
GYN CONSULT
FOLEY CATH
24 URIN FOR PROTEIN
IF STILL NOT CONTROL THE SEIZURE, START DIAZEPAM----THIOPENTAL------PHENYTOIN----PROPOFOL

IF THEY SAID DO WHAT U CAN
SEND THE PT TO ICU
NPO
CBR WITH PNUMOTIC
CONT IVF
CONT BP MONIT
UO
CHECK THE PT/PTT
TYPE&CROSS
BLOOD HOLD TO OR
12 LEAD EKG
THE CASE SHOULD END HERE
U SHOULD CONT. MGSO4 FOR 24H AFTER DELIVERY


PLEASE ADD OR CORRECT IF ANYTHING I AM MISSING

[Asclepius1]

ultimate goal with this patient is to deliver the baby. 38 weeks is considered term.