brock8024 Posted July 23, 2008 Posted July 23, 2008 Hip surgery and A fib. She has PE right there. IV, O2, Monitor. She needs Diesel to get to ER. Get ready to work a CODE
brock8024 Posted July 23, 2008 Posted July 23, 2008 Another clue she is on no anticoagulants. No warfin, ASA , or plavix and she is in A.Fib and recent hip surgery.
itku2er Posted July 23, 2008 Author Posted July 23, 2008 Hip surgery and A fib. She has PE right there. IV, O2, Monitor. She needs Diesel to get to ER. Get ready to work a CODE She coded as soon as they loaded her on the ambo. It was a PE so says the great ER MD! And Spenac I was that NURSE thank you. *grumbles at spanac*
JET EMT Posted July 23, 2008 Posted July 23, 2008 I agree with Brock completely, Admin. high flow O2 and high flow diesel!
medic_texas Posted July 23, 2008 Posted July 23, 2008 The A-fib threw a clot causing a embolism in the lungs.
spenac Posted July 23, 2008 Posted July 23, 2008 And Spenac I was that NURSE thank you. *grumbles at spanac* Then I definitly would check that everything was right. Did you actually turn the oxygen on? :twisted: And if you turned it on did you conect the little plactic hose to the oxygen? :twisted: Hey I was right. Guess those books that hold the chair up have value for something else. :wink:
itku2er Posted July 23, 2008 Author Posted July 23, 2008 Then I definitly would check that everything was right. Did you actually turn the oxygen on? :twisted: And if you turned it on did you conect the little plactic hose to the oxygen? :twisted: Hey I was right. Guess those books that hold the chair up have value for something else. :wink: Hose are you kidding me we use a plastic cup and straws....its a real pain to get all those straws on that concentrator!!!! :wink:
itku2er Posted July 24, 2008 Author Posted July 24, 2008 5 lpm and she was at 81%????????? typical NH.. No Don not typical NH she had no problems all day. It was sudden onset and she was on O2 already at 5 L. Trash if you like but she was even up doing therapy earlier in that morning. No problems at all.
dougd Posted July 24, 2008 Posted July 24, 2008 5 lpm and she was at 81%????????? typical NH.. I'm assuming that was the SPO2 upon the staff finding the patient. I doubt they left her like that. It's easy for us to trash the folks at extended care facilities, but we don't work in an environment where 30 to 1 is considered an acceptable patient - provider ratio. I'm not saying that bad care doesn't happen, but Itku2er already told us she was the nurse at the facility and I think we can agree that she's smarter than the average bear.
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