So I had a patient today that came back from dialysis with a pressure of 70/30 and a temp of 103.1. After calling a rapid response and paging the MD. The MD had the nerve to tell me that a BP of 70/30 was normal for that patient!!! I'm sorry but that BP isn't even enough to keep his access patent!! And the pt told me his BP runs 130/80 normally. The doctor told me to give some Tylenol and give a dose of vanco... No fluid... no transfer to the unit... no nothing!!!!! So after the rapid response that got me NO WHERE.... The MD finally came and saw the pt an hour later and after 2L of NS he was still 70/40.... Then 5 hours after the initial rapid response was called.... OH now he wants to transfer... Well there is no ICU bed now!! There was a bed then.. but not now... Thanks a lot doc... yea b/c i didn't have 5 other patients......... GRRRRR...
This is the same patient that right after the rapid response stood up on the side of the bed and told me to get the hell out of his room or he was going to throw me through the ******* window.... How he could even stand up with that BP i'll never know.... what a jerk... man my day sucked....
Tiger