So here's the basics-
Went to the home of a pleasant 90 year old woman today for an assessment and to set up her meds. When I get there she's not "herself"- a little more confused, stating she's more tired than usual, puts her head down at the table. She seems on the verge of passing out. HR in the 70s with slight irregularity (her baseline). I take a (manual) BP- at first unable to get one, then something along the lines of 30s/teens . She's conscious but lethargic. I try to reposition her to double check BP- she stands with her walker and suddenly starts shaking uncontrollably. I help her down to her chair and call the dtrs cell to take her to ER for eval- she doesnt have a car at work, so we decide I'll call the ambulance. Call ambulance. While waiting, I stay with her and recheck BP again- starting to come up (60s/30s). EMS gets there, we get her out, she's feeling better by this point and is like "oh, I'm fine now, I don't need the hospital". Recheck BP in ambulance- 90s/60s (her normal).
I'm feeling silly. Couldn't get a hold of the doc's office (couldn't get through) so went on my own judgement with the ambulance call. Ended up in ER, not sure if being admitted or just staying for observation. She does have a hx of syncopal episodes along with an extensive cardiac hx. My hubby says to stop second guessing myself and I did the right thing by calling EMS- I mean, I don't have an EKG or anything for further assessments. Nor do I carry IV sets on me for fluids. And at that moment I didn't want to "wait and see"...I mean, what if she went into a full arrest (Been in that situation in another home. NEVER want to do it again)?!
So- did I overreact? Or do the right thing? *Sigh* Almost 2 years as a nurse and still second-guessing myself. How long does that last? :)