Nursing diagnosis please

Nurses General Nursing

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Specializes in Peds, OB-GYN, CCU, ER, Corrections.

I'm a peds and ob nurse, so I don't have a lot of cardiac experience, and when it's happening to you personally...well all kinds of stuff runs thru your head. I've always been a little tachycardic (108 resting), but lately I've been passing out for no apparent reason. I've passed out three times in the last two or three months. It's always in the shower, so I question vasovagal? But I haven't changed anything about the temp of the shower so....??? I had just recently starting taking Topamax for migraines...so I wondered if that could be dropping my blood pressure and making me black out. Or... could I be seizing? I'm out for like five minutes at a time. I've never had an MRI of my head. You'd think that be a standard neuro test, huh? I went straight to the neurologist the second time I passed out, but he refused to changed my meds and instead sent me for a cardiac workup. My echo is negative, my halter is negative. I still have to have a stress test. But I'm a peds nurse. What do I need to insist on for my treatment? What questions to I need to ask? What do you guys think? Help...

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Specializes in ob/gyn med /surg.

you should see a doc ... can't give a dx... you need some more testing.. have you seen a neurologist? if your still having the problem you need futher testing... take care and keep me posted

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Specializes in Med surg, Critical Care, LTC.

We can't give out medical advice on this site, but I can tell you that I have taken Topomax, and didn't tolerate it. It made me very dizzy, and if you look at the side effects, I believe sudden drop in BP is one of them.

Not saying that is what happened to you, just saying it is an antiseizure med, so I doubt you had a seizure.

MOST DEFINITELY I would be calling the prescriber of this med, since this is the only change you have, and be questioning if this is the right med for you.

Good luck

Babs

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Imitrex is my best friend! After a lifetime of chronic migraines this drug changed my life.

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Specializes in Gyn Onc, OB, L&D, HH/Hospice/Palliative.

my question is did the passing out proceed the topomax??

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