- Joined
- May 3, 2004
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- 12,362
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I probably had my slowest shift in the 2+ years I have worked at this job. I worked a 12 hour shift and in that time saw 18 patients which wouldnt be a big deal except in that time I had
1) 2 patients I intubated including one who has COPD exacerbation/Pneumonia, a PCO2 of 70 with AMS, a high grade SBO and a SBP of over 260.
2) a young heroin junkie with endocarditis and septic pulmonary emboli
3) a lady with Septic thrombophlebitis extending from the IJ to the level of C2
4) a guy with a sugar of 29 for about 30 mins prior to arrival
5) 2 Level 1 traumas including one with a comminuted femur fx, distal radius fx/dislocation and a SBP of 70.
I cant remember the last time I felt I really busted my butt only to realize I saw 1.5 pph
On another note the hypoglycemic guy got me wondering.. He was on Actos only for his DM, has CRF with a Cr of 4-5 at baseline. Actos should not cause hypoglycemia. Wondering if I am missing something his other meds were for BP. Wondering if you smart guys/gals have any insight.
1) 2 patients I intubated including one who has COPD exacerbation/Pneumonia, a PCO2 of 70 with AMS, a high grade SBO and a SBP of over 260.
2) a young heroin junkie with endocarditis and septic pulmonary emboli
3) a lady with Septic thrombophlebitis extending from the IJ to the level of C2
4) a guy with a sugar of 29 for about 30 mins prior to arrival
5) 2 Level 1 traumas including one with a comminuted femur fx, distal radius fx/dislocation and a SBP of 70.
I cant remember the last time I felt I really busted my butt only to realize I saw 1.5 pph
On another note the hypoglycemic guy got me wondering.. He was on Actos only for his DM, has CRF with a Cr of 4-5 at baseline. Actos should not cause hypoglycemia. Wondering if I am missing something his other meds were for BP. Wondering if you smart guys/gals have any insight.