A pregnant woman at 34 weeks pregnancy, comes with bleeding PN, B. P. 80 :
Ans. is b i.e. Blood transfusion The question is incomplete. we cannot make any diagnosis with this much information only except that -- It could be a case of ante paum hemorrhage. If such a patient comes to the casualty, our first and foremost step will be to save the life of patient as patient's BP is 80 systolic i.e. patient is in shock. Blood transfusion to correct hypovolemia & replenish blood loss should be done. Extra Edge : Guide to adequate blood replacement.deg - Maintainence of central venous pressure at 10 cm of water.deg - Hernatocrit 30%deg - Urinary output 30 ml/hourdeg
Examination in OT and termination of pregnancy
Blood transfusion
Observation
LSCS