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<\/p>\nI don’t know what happened, but yesterday around 5pm, I got so tired. Mirza and I were downtown eating organic wraps from Central cafe and organics, then stopped at my mom’s, and finally to home. I kicked off my shoes, grabbed the blanket off the couch, and literally fell onto the bed. Mirza said he was going to the store for dessert and bread. I slept like a rock. Finally, at 8:30pm, he came into the room and it woke me up. He went into the bathroom and I must have been dreaming of work because I seriously thought to myself, “um, Mirza really needs to get out of the bathroom and come check a gas on me” (ABG–when we check people’s blood for pH, CO2, HCO3, etc when they’re ventilated, etc). Apparently Mirza is now RT?<\/p>\n
I’m not too sure why I was so tired either.
\nIt could have been the day before at work finally catching up with me. <\/p>\n
I knew the day would be long when I saw the code cart inside my patient’s room to start my shift.
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We had a 40 year old who decided to shoot up in her ankles. She got arterial occlusions and subsequently septic. They had the ekos machine on trying to bust up the clots, but get this…her pH on the ABG was 6.7<\/p>\n
ummm, incompatible with life much?
\nAll day her pressure had been in the 40’s, 50’s…sometimes 60’s. We were maxed out on levophed and she was getting a liter of fluid an hour. Based on her ABG and what not, there wasn’t much else we could do because she was going to die. Her glucose was 13. However, we really did not want to code her because it would be futile. We just tried to keep her hanging on as long as possible until her sister drove down from another state to hopefully make her a DNR\/CMO (comfort measures only–when we withdraw everything and give morphine for pain and ativan for anxiety\/fear).<\/p>\n
We spoke to her on the phone early in the morning. Told her she probably wouldn’t make it the next hour, but she lasted the entire shift. She probably had like 15,000 liters of fluid, also 5 amps of D50, I gave her an amp of epi just for the hell of it, etc.<\/p>\n
\nWe waited outside the door because we wanted to catch the sister before she walked in. Her sister would be unrecognizable. From all of the fluids and the fact that she had to lay flat due to her BP, her entire head was swollen probably twice the size. Her eyeballs were literally the size of…tennis balls? Swollen shut. And we didn’t get the bite block in time, so she began biting down on her tongue. We finally got it in, but now her mouth kept filling up with blood. It was truly disgusting.<\/p>\n
Of course, when her sister saw, she became distraught. Long story short, we made her DNR\/CMO. We discontinued all of the fluids, medications, gave her morphine, ativan, and took out the ETT tube around 1735. She officially went asystole at 1746, but we all knew she was already dead long before that.
\nMoral of the story: drugs are stupid.<\/p>\n
<\/div>\nI don’t know what happened, but yesterday around 5pm, I got so tired. Mirza and I were downtown eating organic wraps from Central cafe and organics, then stopped at my mom’s, and finally to home. I kicked off my shoes, grabbed the blanket off the couch, and literally fell onto the bed. Mirza said he […]<\/p>\n","protected":false},"author":1890,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-412525","post","type-post","status-publish","format-standard","hentry","category-news"],"_links":{"self":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts\/412525","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/users\/1890"}],"replies":[{"embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/comments?post=412525"}],"version-history":[{"count":0,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts\/412525\/revisions"}],"wp:attachment":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/media?parent=412525"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/categories?post=412525"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/tags?post=412525"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}<\/img><\/a>
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