Guest guest Posted November 1, 2007 Report Share Posted November 1, 2007 You have a 24 y/o female that is hyperglycemic with initial BGL of over 600 " machine reads high " . She takes 20 units of insulin before calling EMS. On EMS arrival she is now 492, but is a/o x 3, c/o nausea and vomiting, headache, some dizziness. V/S are within normal limits, not high or low. Pt is placed in unit, you look for a vein, but pt tells you that she has a med port in her right upper chest. You carry no needles to access such a port, so no IV access. Under normal circumstances, an IV would have been started and run wide open per protocol. However, since pt has no veins, you don't to stick the pt just to try. You are about 10 minutes from the ER, where they are able to access the port. What is everyone's thoughts on this one? Access the port with regular needle? Take the chance of messing up the port and causing more problems for the pt because you don't have the correct needle? Service director said crew should have stuck the pt even though she had no veins, just to try and get a line. Wayne __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.