Pt. came in with chest pain, went to cath lab, no interventions were needed, so he was supposed to come to floor and get 2 hours of bedrest and head home.
We pull his sheath, hold pressure for ~40 min. Still oozing from site, okay hold a little more pressure, then put pressure dressing on and 10 lb bag. He is staying the night.
Anyway after talking to Doc ~4 times over 4 hours (he was calling me couple times) explaining the site is still oozing, but otherwise fine, even after holding additional pressure and trying everything in my power to stop the bleeding he has me apply different pressure dressing and leave it til morning (I work third shift). No complaints from pt. until 6am, site is still oozing and he now has some pain because he has a hematoma forming. I push it out, hold more pressure and site feels perfect again but is STILL OOZING.
Doc eventually came in that morning and had to suture site closed. Obviously it wasn't arterial and was from the puncture site, but has anyone had anything like this? We're talking 12 hours of slooow ooze. Had to have held ~2 hours pressure total.