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Re: 32 y.o. G0P0, Cardiac aresst 12 days ago. Part 1From: AllanHo@aol.comWed Oct 10 12:03:04 2007
If her cervix is 3 cm dilated from an aborting myoma, I suppose there must be plenty of prostinglandins floating around which could not be good for her heart. If her condition negates surgery at this time, temporization is all you can do. I would consider giving this patient Lupron (although it may take a long time to work) and transfuse her to keep up with the blood loss. If this patient has to die, the OR table would be the worst place. I would also suggest checking her cervix for bleeders frequently since she had a LEEP not long ago and the cervical dilatation could be tearing more vessels. Allan Pennsylvania ************************************** See what's new at http://www.aol.com -------------------------------1192035764 Content-Type: text/html; charset="US-ASCII" Content-Transfer-Encoding: quoted-printable <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"> If her cervix is 3 cm dilated from an aborting myoma, I suppose
there must be plenty of prostinglandins floating around which could not be
good for her heart. If her condition negates surgery at this time,
temporization is all you can do. I would consider giving this patient
Lupron (although it may take a long time to work) and transfuse her to keep up
with the blood loss. If this patient has to die, the OR table would be the
worst place. I would also suggest checking her cervix for bleeders
frequently since she had a LEEP not long ago and the cervical dilatation could
be tearing more vessels.
Allan
Pennsylvania See whattarget="_blank">Make AOL Your Homepage.
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