Woman with nausea and high blood pressure transported to hospital
Heard on:
Berkeley County WV Regional WVU Med D (Hospital)
04:09
This transcript is auto-generated from live dispatch audio and may be incomplete or inaccurate. It is not
an official report and may change.
00:00
Going to Jefferson Medical Center.
00:01
We have an ETA approximately 12 minutes.
00:05
All right, go ahead.
00:07
I have a sixty-year-old female.
00:09
Sixty-year-old female chief complaint of nausea, vomiting, and hypertension.
00:16
Her blood pressure has remained hypertensive since our arrival.
00:19
First manual was 180 over 110 .
00:23
Last one was 190 , so solid over 117 .
00:30
Vital signs: she is tachycardic on monitor, slightly 108 , ninety-eight percent at room air.
00:36
She's got good pulses.
00:38
She is flushed due to her rain odds.
00:43
I'm considering giving hydroxyzine for her blood pressure.
00:46
I have already given 1.25 of droperidol for the dry heaving and also 4 mg of IV zofran for nausea.
00:58
A blood pressure just got was 160 over 114 .
01:04
He does have a history of hypertension, so I just considering giving hydroxyzine as a.
01:14
Very good, stand by.
01:15
Let me get you the notes.
01:18
Correct.
01:19
You're past there, Dr.
01:20
Reedy.
01:22
Good afternoon, this is Cavanaugh on Medic 109.
01:25
I have a sixty-year-old patient with hypertension.
01:27
Has not been able to take her medication today because she's been vomiting it up.
01:32
She is on Omeprazole, normally.
01:35
Current blood pressure is 168 over 114 with a MAP of 131.
01:39
She is tachycardic, 109, on the monitor.
01:42
12-lead is normal at this time, no elevation.
01:49
According to her husband, she does have a history of an aneurysm in her upper portion of her aorta.
01:57
That is my caution on giving this.
01:59
But her blood pressure has remained elevated.
02:02
The 1st one I got manually was 180 over 112, and the last one that I got just recent, like within the last 5 min , is 168 over 114.
02:12
I'm asking to go ahead and just move forward with.
02:15
Five milligram slow push of hydroxyzine.
02:19
It sounds like she, just to confirm, in a minute here, sounds like she's otherwise asymptomatic other than the vomiting that is causing her not to be able to take her home medications.
02:29
And then she's not having chest pain or other EKG changes.
02:33
And then my other last question for you guys would just be how far are you guys from your intended destination? Over.
02:42
Currently, right now, we're about 10 min out.
02:45
With her, when I gave the 1.25 hydrocortisone, she has stopped dry heaving, which has brought her blood pressure down.
02:51
I am assuming a little bit.
02:53
So I am okay to hold off from hydrocortisone.
02:55
I just want to get consideration.
02:59
Yeah, gotcha.
03:00
With that most recent blood pressure, I also have the same concern as it may be due to nausea or vomiting or just generalized discomfort.
03:07
I would not initiate the hydrocortisone at this point.
03:11
I. Just to wait until the destination,
03:14
especially since you're only 10 minutes away.
03:16
So I think you can keep managing nausea and vomiting.
03:18
I wouldn't push the hydroxyzine at this point.
03:20
Over.
03:23
I'm direct.
03:25
I'm good to come off radio whenever available.
03:31
I believe you guys are good then.
03:32
That's all anything you need from me.
03:37
Yeah, we're good.
03:38
Thank you, Dr. Riggs.
03:43
All right, what's the patient's GCS and respiratory rate?
03:47
Sorry, right now is 14 .
03:50
GCS is 4 5 6 .
03:54
Sugar is 100 and twenty-two.
03:55
I have an 18 gauge established in the right forearm and last drawn.
04:01
Very good. Are you going to call Jefferson or do you need me to?
04:06
Um, I can call Jefferson right now.
04:09
Thank you.
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