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Consequences of Skipping Medication

 



It was a chaotic morning for a Sunday.

Usually weekends will be less stressful, calmer than week days.

That day, it was different.

Patient came with GCS 3/15,intubated at ED for airway protection, sedated with midafentanyl cocktail.

Multiple IV lines, IVI adrenaline, IVI insulin sliding scale, sedation pump at the side, cardiac and bp monitoring machine on another side; the place was literally in a mess.


Beeping sound from every machine available there was disturbing. 


She's a 60 years old lady, with diabetes and hypertension. History from the daughter clearly showed that, she's not compliant to her medication. She used to skip her pills.

Self made decision that took a toll on her life, causing her to lie flat infront of me.

Blood pressure on arrival was 210/148mmhg.


CT brain shows acute pontine bleed secondary to hypertensive emergency..


If.. If she took her medication regularly, today, everything would be different.

Today wouldn't be her last day on earth.




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