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SEPSIS OR WHAT

 
 
Reply Sat 7 Feb, 2015 05:59 am
I had a 70 years old patient complaining of cough and weakness for 3 days. She was ytpe2 DM and esansial HT and on medication. Her arrival values
BP : 110/60 hr: 120 spo2: 96 glucose : 595
troponin (-) WBC: 14000 CRP: 133
urea creatinim electrolits normal
ECG - normal norologic examination - normal chest xray - normal
urine strip - normal ENT examination - normal

my treatmenr in ED was;
regular insuline 16U sc
seftriacson 2gr iv
ornidazole 1gr iv
diclofenac im
NS 2lt iv in 3 hours

after 3 hours her parameters was ;
BP: 80/60 HR: 75 SPO2: 96 glucose: 225
she was not hyperhpneic and other examinations were normal as her admission. There is not bloodgas in my department so i couldnt take it.

i monitored her a hour more. and BP decreased 60/40 HR:78 GCS:15

i cant understand the reason of hypotension. is there any idea
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Type: Question • Score: 0 • Views: 750 • Replies: 5

 
jespah
 
  3  
Reply Sat 7 Feb, 2015 10:58 am
@asimsekcan,
If you're even close to being a real doctor or intern, why the hell wouldn't you be asking a colleague or an instructor this?
0 Replies
 
Ragman
 
  1  
Reply Sat 7 Feb, 2015 12:03 pm
@asimsekcan,
This belongs in the 'Dep't of things that make you say hmmmmmmmm'!
0 Replies
 
Lordyaswas
 
  2  
Reply Sat 7 Feb, 2015 12:14 pm
I sould love to give a proper clinical diagnosis, but I can't seem to find my stethoscope.
0 Replies
 
margo
 
  1  
Reply Sat 7 Feb, 2015 12:54 pm
diclofenac
Lordyaswas
 
  1  
Reply Sat 7 Feb, 2015 03:41 pm
@margo,
Bless you.
0 Replies
 
 

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