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The first blood pressure in the holding area for her final patient was 230/110. The vitals were written down on a paper towel on a stand next to the patient’s chair. The handwriting by the nurse was poor, and Cary thought it read 130/110. Cary was not concerned and administered 2 mg of midazolam with commonly used induction agents. At extubation, the final blood pressure in the operating room was 140/90. Three minutes later, the blood pressure was 186/90. The PACU team believed that this pressure was from pain. Hydromorphone was administered. The blood pressure rose to 212/95, and the patient had a grand mal seizure.

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Anesthesia and a Grand Mal Seizure and Intracranial Hypotension

  • 章节

  • 发表日期：

    2025年

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  • Corey Scher

摘要

The first blood pressure in the holding area for her final patient was 230/110. The vitals were written down on a paper towel on a stand next to the patient’s chair. The handwriting by the nurse was poor, and Cary thought it read 130/110. Cary was not concerned and administered 2 mg of midazolam with commonly used induction agents. At extubation, the final blood pressure in the operating room was 140/90. Three minutes later, the blood pressure was 186/90. The PACU team believed that this pressure was from pain. Hydromorphone was administered. The blood pressure rose to 212/95, and the patient had a grand mal seizure.