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What do you do?From: Efrain Ramirez (eramirez@icepr.com)Wed Jan 17 20:29:41 2001
What do you do? You receive a call from LDR nurse at 1AM - 24 y/o GI P0 38 3/7 weeks - uneventful prenatal care - contractions every 8- 10 -15 minutes for the last 30 -45 minutes- Cx long, FT -posterior - FHR tracing - reactive. Vital signs WNL The patient is in no distress. There is no other obstetrician in the LDR. Would you: a) Tell the nurse to discharge the patient home with the instructions that if contractions would get stronger to return to LDR -if not -- you will see her in the morning at your office. b) Tell the nurse to observe the patient for 2- 3 hours - reevaluate - if no cervical changes in spite of contractions every 10 minutes - send her home with previous instructions - if cervical changes did occur to call you back. c) You admit the patient - give her Morphine SO4 (or the sedation of your choice) - with the intent of reevaluating her in the morning - you instruct the nurse to call you if there is any change in the patient's status. d) You would immediately go to the hospital and evaluate the patient. e) None of the above - if so - what?
-- "Life is neither the notes nor the silence between the notes, but the music that arises out of sound and silence felt as a living whole. Stop choosing...between chaos and order, and live at the boundary between them, where rest and action move together..."
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