Well the other day got a wet tap on a pre-eclamptic/PIH laboring patient - do this long enough - you'll see them...

..any who - had the postural HA afterwards - she declined caffeine (po is all we have - didnt have the IV version in house and couldn't give imitrex since hemodynamics were still up) + was developing neck pain/stifness POD#2. Waited til Mg gtt was off for 1 day and then did an EBP and then ....no shit... tapped her again...

My partner looks at me with look that you know you'll be eating crow look (he was getting the blood - sterile). So dropped a level and injected 17 mL of blood and crossed my fingers - but ready to repeat it in another day...luckily - HA gone w/i 4 hours - d/c home next day...

Yeah its a risk with regionals - but it sure stinks when you cause one...or.. emm.. cough.. 2 ..of them...

Just another day at the office....

tone