OK, last night i had a woman about 29, complaining of severe chest pain, radiation to her shoulder, and shortness of breath. her EKG showed severe tachycardia at about 186, with some indications of what looked like PVC’s (premature ventricular contrations) ----although ive never ever seen PVC’s at such a high heart rate. there wasnt such a pronouced deflection downward as youd think with a “regular” PVC.
she said she was about 3 weeks overdue on her period, and she thought she was pregnant, maybe about 6 weeks. i told her that she needed medication, namely AdenoCard to chemically cardiovert her. that meant administering morphine for analgeasia. she said she didnt want any meds because it might harm the child.
needless to say, while loading her in the ambulance, she goes unconscious. her EGK shows 210 bpm. now the law allows by implied consent, that any reasonable person would want lifesaving measures taken. so as soon as she goes out, the law tells me i can do anything i need to unless i have a written order otherwise.
i administered adenocard, getting good cardioversion, but the rate continued to increase to SVT, so i got orders from an MD to administer Amioderone, followed by a lidocaine drip in D5W solution. i didnt agree with the magnesium sulfate order, but once i get the directive, i HAVE to give it.
amioderone and adenocard are known to have really bad effects in on fetal cells, as well as IV lidocaine.
magnesium sulfate can induce contrations of the uterus, so there is a chance that the embro could have been expelled.
even if it was against the mother’s wishes, is it OK to administer meds that will most definitley harm an unborn child? i know the law fully allows the superceding of decisions when a person is no longer conscious, but what would be the CC church stance on such an issue?
does the CC oppose giving meds to SAVE a life (but hurt an embryo) against the prior verbally expressed wishes of a patient?