Question

critical levels of oxgen saturation.?
I have a friend who is a juvinile diabetic and was pregnant. She went in for an induction being told to take half her longlating insuling that night before, and cut her short lasting in half when she ate but to take no longlasting in the morning at ALL. when she got in there the failes to check her for keytones as instructed and did not properly moniter her baby or her sugars(she was also not given long lasting insulin for at least30 hours). Her oxgen saturation at one point was 66% .....is that bad? also they took her off the moniters that night despite fetal decelarations and told her to shower, they next morning her sugar was 200 and something and her baby heartrate was in the 60-90s. after c-section the baby was still born and resuccitated but they still lost her due to severe brain damage. she also had a hi-blood gas(not sure what that is)and after she was born the mother was found to be in ketoacidosis. could this be because of the hospitals failure to care for her properly......and what is a normal heartrate(mother ended up being tachycardic at 121, could she have died?) and oxygen saturantion levels?
Posted 1 year ago in Diabetes by StrongGeek

Answers

Anonymous
G
Anonymous
Wow I'm sorry to hear about this :( well I don't know about the rest but onthe oxygen saturation levels the normal is about 90%. They should of put some oxygen on her to bring her oxygen up. But they may have had their own reason for not doing it. Sadly there is a lot of things that happen to mothers due to lack of care. But instead of getting advice off of here, I would suggest the family go to a lawyer and talk it over. Again I'm very sorry to hear about this :( Best of luck.
Anonymous
An oxygen saturation of 66% is critically low. They should have had her on oxygen, yes. Her sugar being 200 and something isn't terrible. I've seen it much higher. They should have been checking her sugars very regularly and giving her the short acting insulin if it was high. I don't think the fact that they DID NOT give her the long acting insulin was that big of a problem. She probably was not eating as much and the short acting would have done the job in the interim. Taking her off the fetal monitor knowing her baby's heart rate was decelerating was not a good thing. The fetal heart rate being in the 60s-90s is extremely dangerous. A high blood gas probably means that she had high levels of CO2 in her blood. I'm sorry that this happened to your friend. It is a very sad thing that happened.
Anonymous
Wow, that's a disaster.It was right to hold the long acting insulin - low blood sugars are far more dangerous than high ones. She should have been having her sugars checked 3-4 times a day, and been given short acting (regular) insulin to keep the sugars in a normal range.Oxygen saturation should be above 90%. Below that, the available oxygen in the blood drops precipitously. She absolutely should have been on supplemental O2 if she was even close to 90%. 66% is awful IF the reading was correct. Pulse oximeters are subject to artifact (false readings) with motion, so that applies only if the reading was real. If she was moving her finger, or if the clip was dislodged from her finger, the machine might read a low number even if she's fine. A fetal heart rate in the 60-90 range is fetal distress, and is reason for IMMEDIATE intervention. Sometimes the intervention could be as simple as extra oxygen for Mom and shifting position; sometimes it's an emergency C-section. Normal heart rates for the fetus is 120-150; a little slower or faster might be tolerated. Normal heart rate for Mom is 60-100, depending on her physical condition and the circumstances. Normal oxygen saturation is >95% on room air - most of us are 98% or higher.Her care needs to be reviewed. I'd suggest that she get a copy of her medical records ASAP (so that nobody tries to cover anything up), and then send a letter of complaint to the hospital, the state medical board, and the state board of health. If she feels a need to sue, there may be grounds for it, from your description of events. Condolences for her loss.


What is Type 1 Diabetes

Type 1 diabetes is when the body does not make enough insulin. Insulin is a hormone that helps your body convert food into energy. Without insulin, glucose (sugar) from the food you eat cannot enter cells. So glucose builds up in the blood. Your body tissue becomes starved for energy.

Type 1 diabetes usually begins in children and young adults. Over the long-term, if type 1 diabetes is not adequately treated, high blood sugar levels can damage the blood vessels, heart, kidneys, eyes, nerves, and other tissues or organs.



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