Orbera BRR

Language: Spanish
References: 15
Page: 1-10
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ABSTRACT

Patient of 50 years of age with antecedent Bronchial Asthma and Arterial Hypertension, treatment with Enalapril and Hidroclorotiazida, up to 7 days before the entrance. This patient ingested rich foods in fatty, accompanied by a beer, minute’s later you/he/she felt bad and she decided, to take a nap. Two hours later he/she woke up in frank agitation psychomotor, being taken their hands to the head, violent behavior with loss by heart. It was transferred to the primary attention, and assisted by guard's doctor, the one that carried out a preconceived presumptive diagnosis and prejudiced, without paying attention to the clinical signs of the case. The patient suffered physically for a while bigger, the treatment was guided toward an alcoholic intoxication, the doctor interpreted the square like state of intoxication with associate hypertension (180/110mmhg), it indicated restriction, Captopril sublingual, I oxygenate for he chewed and a ampoule of Dextrose to 20%, two vitamin ampoules B6, to counteract the effects of the alcohol, the relatives refer that alone he had taken a beer, there it remained one hour with sharpness of his psychic state, practically uncontrollable in spite of the restriction; their treatment had not been completed by assistance pressure, fortunately, the suitable dextrose would worsen the cerebral edema since of which suffered from its arrival to the assistance center. Everything lapsed until the arrival of another physician that verified figures you tense them of 240/140 mm/hg and he/she declared emergency phase, applying the suitable and established therapy for a patient hypertensive with cerebral damage.

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