13th to 14th of October 2023

• Normal night medications hydralazine 50mg, labetalol 200mg, veraprimil 120mg.
• Weight 80.5kg (night)
• 21:10pm - Administered Maxalon 10mg , Panadol 1g
• Baseline observations BP129/85 HR76
• 21:40pm - Administered Misoprostol 200mcg x2 S/L
• 12:20am - Fell asleep with a heat pack
• 01:10am - Administered Panadol 1g
• 03:00am - I woke up feeling the gush of blood and passed a blood clot between 20-50cent piece, smaller clots no bigger than 10cent pieces.
• 03:17am - Hydrolyte drink 250ml and water, 1st pad changed
• 03:25am - Administered Codeine Phosphate 15g
  • Observations 03:26am BP 128/93, HR 70, T37.07
  • Observations 03:29am BP 120/86, HR 68
  • Observations 03:31am BP 121/89, HR 70
  • Weight 80.2kg
  • Symptoms Mild cramping in abdomen 2/10, mild nausea, stiff back
• 04:15am - Passed another size clot unable to verify measurement moderate blood loss when passed. 2nd Pad changed as there was mild to moderate bleeding on pad.
  • Symptoms Moderate abdomen and back pain 4/10
• 05:20am - Administered Panadol 1g and Maxalon 10mg. Mild blood loss on pad - Pad. 3rd pad change
  • Symptoms Moderate pain 5/10
  • Weight 79.9kg
• 07:20am - Mild to Moderate blood loss - pad changed
• 09:40am - Administered Panadol 1g and Codeine Phosphate 15mg, heat pad
  • Symptoms Moderate pain 5/10
  • Mild to moderate blood less in the last two hours. Pad changed.
  • Weight 79.3kg
• 13:40pm - Administered Panadol 1g and Maxalon 10g
  • Symptoms Mild cramping in abdomen 3/10, headaches
  • Mild PV loss, pad changed
• 21:30pm Usual medications
• 21:50pm - Administered Misoprostol, Panadol 1g, Maxalon 10mg
  • Observations 21:58pm BP 136/96, HR70
  • Observations 22:00pm BP 128/96, HR70
  • Observations 22:02pm BP 131/93, HR71
  • Observations 22:04pm BP 128/90, HR72
  • Symptoms Mild cramping, Minimal PV loss
• 01:00am - Cramping abdomen pain 6/10. Moderate PV loss and passed clots unable to verify sizes, pad changed
• 01:25am - Administered Codeine Phosphate 15mg
  • Observations 01:37 am BP 103/79, HR79, T37.46
  • Observations 01:39am BP 105/83, HR83
  • Observations 01:41am BP 109/79, HR80
• 01:50am Administered Panadol 1g and Codeine Phosphate 15mg
  • Abdominal pain 7/10, Moderate PV loss, passing clots unable to verify size, pad changed
• 03:00am Moderate to Severe PV loss, passed small to medium clots, one was half a golf ball sized. After passing blood clots abdominal pain 2/10
• 07:25am Administered usual medication, Panadol 1g, Maxalon 10g
  • Observations 07:28am BP 128/84, HR72 T36.88
  • Observations 07:30am BP 119/79, HR78
  • Observations 07:32am BP 118/84, HR78
  • Weight 79.1kg
• In Peace by Bradley Joseph, Rest in my arms by Willaim Rhapsody
• Forever my little Emerald