A 26-year-old woman is complaining of severe abdominal pain and heavy vaginal bleeding. She has used five sanitary napkins in the past hour. Her last menstrual period was six weeks ago, and she describes a history of irregular periods, but never to this extent. Management of this patient should include:

Question

Quizplus · Accepted Answer

The severe abdominal pain, heavy vaginal bleeding, and high usage of sanitary napkins raise concern for significant blood loss and potential hypovolemia. IV fluids should be initiated immediately to ensure adequate circulating volume and perfusion to vital organs. IV dextrose or oral antiemetics are not indicated for the presenting symptoms, and IM epinephrine does not have a role in the management of this condition.

A 26-Year-Old Woman Is Complaining of Severe Abdominal Pain and Heavy