I Awoke This Am A Little Dizzy, Feeling A Little

Posted on Tue, 4 Dec 2018

Question: I awoke this am a little dizzy, feeling a little short of breath, not bad. Then I had nausea and vomiting. I thought because I had taken my am meds on an empty stomach. My forearms bilaterally feel now like they have tight bands around them with some numbness. I can still type obviously. Vomited again. Having some minor mental status changes. I read the time on my car correctly but could not say it - but then corrected myself. I could not pronounce Linked-in. I have a history of SLE and we think migraines - though not typical. Feeling of ice on my lip. Thats it. I am a DNP student in Leadership and Admin. I have been a RN for nearly 29 years.

Answered by Dr. Vasudha (2 hours later)

Brief Answer:
You need urgent care at ER.

Detailed Answer:
Hi Lvhines9,
Thanks for the query. I have read it &understood your concern.
With the history of SLE...the symptoms you have seem to be it's exacerbation.The heart symptoms causing short breathlessness & dizziness to start with followed by central neurogenic symptoms of (due to less oxygen suply to brain) nausea,vomiting,numbness and all.
To avoid further progress of symptoms....You should take rest,have an aspirine 75 mg pill/nitroglycerine sublingual pill with a cup of milk as a stat dose &rush to ER for further management & investigations to confirm the cause.
I hope you understand the problem.Any follow up query is welcome.
Thanks.

Above answer was peer-reviewed by : Dr. Remy Koshy