IJSHR

International Journal of Science and Healthcare Research

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Case Report

Year: 2021 | Month: July-September | Volume: 6 | Issue: 3 | Pages: 66-69

DOI: https://doi.org/10.52403/ijshr.20210712

Mortality of a Pregnant Patient Diagnosed with COVID-19: A Case Report

Uday Mahajan1, Deepika Kapil2

1Department of Medicine, Dr Rajendra Prasad Govt. Medical College, Kangra at Tanda, Himachal Pradesh, India.
2Medical Officer Civil Hospital Nagrota Bagwan.

Corresponding Author: Deepika Kapil

ABSTRACT

On her presentation she was conscious  pulse rate was 92 beats per minute and respiratory rate was 16/minute and decreased air entry bilateral lungs and  coarse crepitations in both infrascapular and infraaxillary and mammary area- not maintaining saturation with spo2 69% at room air. She was put on nonbreathable mask @ 15 L/minute and she achieved spo2of 92%. Her fetal assessment was done using NST which was reactive. She was managed conservatively on antiviral, antibiotic, oxygen therapy by combination of high flow nasal cannula @60L/min at fio2 80% along with NRM @15 L/min. She was planned for induction once stable and once weaned from high flow nasal cannula. However she kept deteriorating and became tachypneic, dehydrated and delirious. Her repeated investigation revealed rise in TLC of 11800/ul and falling albumin level of 2.6 g/dl and rise in ferritin of 726ng/ml.  Her subsequent ABG were suggestive of respiratory alkalosis. Subsequently she was not maintaining saturation and she was intubated and she collapsed.

Keywords: Mortality, pregnant patient, COVID-19, respiratory alkalosis.

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