In the past 4 weeks, this is the third time she has had to be admitted.
History: High BP,
Diabetes, Swelling in left leg discoloration (blackish)
Admission due to: Shortness of breath, Low SPO2, Loss of consciousness
Incident 1:
sugar >=300
Incident 2: After 7 days - Blood sugar 46, Unresponsive, Lungs have cough (PCO2 85), (ICU, On intermittent Ventilator + Oxygen Nasal Canula, Nebuliser), On day 2 she suffered a stroke or seizure like episode where she almost flatlined, ESR 135
Incident 3: After 4 days - Blood sugar >300, PCO2 normal (ICU again, intermittent Ventilator + Oxygen), There is dry cough still, ESR 120
Echo Tests show:
1 MID & APICAL SEPTUM, LV APEX, MID & APICAL ANTERIOR, MID & APICAL INFERIOR HYPOKINESIA
2 SEVERE LV SYSTOLIC DYSFUNCTION. LVEF 30%
3 MILD TO MODEERATE MR/TRIVIAL AR
4 MILD TR, PASP 43 MM HG
5 NO CLOTS/NO VEGETATION
1. Cause of repetitive episodes? 2. Course of action suggestion? 3. Transport to nearby big city possible via ambulance in her condition?