Consult note

by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments

Overnight monitoring (19:55 UTC–next day 19:55 UTC) showed a critical hypertensive spike at 19:32 UTC with BP 200/100 (pulse 100), which crosses ACOG Stage 2 threshold (=160 systolic and =110 diastolic). Surrounding BPs were lower: 18:15 UTC 148/96 (pulse 85) [meets ACOG Stage 1 only for diastolic (=90)], then 19:31 UTC 120/80 (pulse 72), followed by rapid normalization at 19:36 UTC 121/79 (pulse 72). No symptoms were detected on AI review throughout (AI symptom component 0), and gestational stage entered as second trimester. Two severe alert events were generated: 18:58 “Severe Alert” (status Open; SLA breached) and 19:33 “Severe Alert” (status Open; SLA pending), corresponding temporally to the concerning readings. Urgent care messages were sent to the patient at 18:27 UTC and again at 19:33 UTC advising emergency evaluation/911 if indicated. No EPDS data available. Overall trend: transient rise to Stage 2 followed by prompt return to normotension within ~4 minutes; however, the Stage 2 reading warrants immediate clinical assessment to exclude evolving hypertensive disorder or measurement artifact.