Hello all! I'm a CVICU nurse about to hit my one year mark. I've been taking post op ohs patients for a couple months now and have a question!
i had a patient last night pod 2 cabg x5, had their balloon pump pulled two hours before I picked them up. Ended up coding him, cardioverted a couple times, started lots of drips, got him stabilized by middle of the shift. At 5 I called the doc for an update and my uop had dropped to 15 hourly over the past two hours after id gotten a stable bp. Went over labs, vitals, drips and their rates, then he ordered 100 mcg of synthroid and 100 mg solucortef. Never heard of that one for decreased output but ok then.
Anyone know the pathophys behind this? It's driving me crazy to know, one other nurse I work with said she's given it once before on a heart pt but didn't know. It worked like a charm, he was putting out 50 when I left.
As a side note, first code and he was stable when I left!! Woo