'Twas my partners call but this is what I know. We were called for swollen tongue and indeed that's what we got.
Tongue was growing bigger, no difficulty breathing. Patient had not tried any new foods, etc. Vital signs were stable she breathed fine on NRB. The NRB was gradually being filled with her ever growing tongue.
Following our anaphylaxsis protocol my partner 1st gave 50 of bendaryl. He called med control and they said give 1:100 epi. Neither stopped the swelling, but there was no increase in sob or dib either.
Got her to the hospital and last I knew she was being nasally intubated.
Pt's offspring stated that tongue swelling occurs after pt. has seizure, although she denied seizure. I was thinking maybe a cva/tia......
1 comment:
No phenothiazine or haloperidol as new drugs, maybe "borrowed" from someone else? With extrapyramidal symptoms/acute dystonic reaction, the patient's tongue may swell, they may become tachycardic, and may have some twisting of the neck, but the treatment is Cogentin or Benadryl, so some improvement should have occurred with your treatment. Maybe an infection of the tongue? Maybe a bee sting to the tongue? You already covered the standard allergic reaction stuff.
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