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Case Study Three

Stop and Think !

A pregnant woman who is 28 weeks gestation has come to the blood collection area for a two-hour oral glucose tolerance test to confirm a diagnosis of gestational diabetes. The procedure requires the collection of a fasting blood sample followed by administration of a 75-gram load of glucose, which is administered in an orange-flavored beverage. Blood specimens will then be collected at one and two hours. The woman has finished drinking the beverage, which she had a difficult time finishing, and you instruct her to have a seat in the waiting room until you come get her to have the one-hour post-glucose blood sample collected. After 30 minutes, she comes to tell you that she has just vomited.
Consider how you would handle this or a similar situation before proceeding to read the suggested solution on the following page.