"But for me, 98.4 means I have a fever...."
- 12Mar 14, '12 by abbakingJust a pet peeve....I hate when I do a set of vitals on a patient and the vitals are clinically stable but the patient insists its abnormal.
Me - Just checked the temp - reads 98.4
Patient (40 something drama queen) - "Thats high for me...I think i have a fever"
Me - "Do you know what your temp normally is?"
Patient - "My normal temp is 98.2"
Me - "Your temp is FINE...all your other vitals are FINE"
Patient - "But i really am sick if I go above 98.4.......blah, blah, blah
Just irritates me....
- 8Mar 14, '12 by RNsRWeMy favorite is when I'm using the vs machine. My patients look at the numbers and begin to questions me about what their numbers mean without really asking, just complaining ("omg, is my pressure really 98?? What do I take for that??"--umm, your bp is TWO numbers, and the 98 is your O2sat).
I had a patient look at the machine and say "I've really got to get that number down, my doctor says it's too high". Really? You think it's too high? The number you're looking at is 56, and since it's your diastolic bp, I'd go with NO. And since the number on top is 79, I'm thinking you've been screwing with your meds again.
And, of course, there's the temp. Perfectly normal, patient states there's a fever. Well, you don't have one now...? "Oh, I took Tylenol before coming, but I definitely have a fever."
You can't fix stupid.
- 15Mar 14, '12 by tntrnSome people, like me, know what their usual vitals are and if indeed, they are different from what you have just obtained, it might bear checking into their history. My normal temp is usually 97 point 1 or 2, so even a 99.0 could be indicative of a low grade fever.
- 5Mar 14, '12 by KelRN215, BSN, RNI once had a mom completely flip out because her child's heart rate was somewhere in the neighborhood of 100-110. He was sitting up in bed, moving all over the place playing. She insisted that the ICU told her his HR should not be greater than 100. The child was three.
- 3Mar 14, '12 by classicdame Guideat least pretend you are taking them seriously. You can say I will continue to monitor this situation or tell them how the body kills germs when temps are somewhat elevated and we do not reduce small "fever" so she will heal sooner.
- 10Mar 14, '12 by TheCommuter, ASN, RN Senior ModeratorQuote from KelRN215Yep. This is another example of a family member stirring up trouble when no problem existed in the first place.I once had a mom completely flip out because her child's heart rate was somewhere in the neighborhood of 100-110. He was sitting up in bed, moving all over the place playing. She insisted that the ICU told her his HR should not be greater than 100. The child was three.
There's a saying in the 'hood: "Don't start nothin', won't be nothin'." More members of the public should pay attention to this saying.
- 3Mar 14, '12 by SparrowhawkIt especially irrates me when it's techs wanting to go home "Oh but my temp is usually 96-96 do 99 is a HUGE fever for me" Yeah well dear if you go to the ER or tell the doc that he's gonna tell you the same thing I am..pop a tyelenol and keep on truckin.
- 7Mar 14, '12 by woohI had a mom that wanted an immediate transfer to PICU because the kids bp was slightly low while asleep. After all, the other floor had sent them to PICU the last time it was slightly low. Of course, the bp has been trending that low every night, and when the other floor sent them to PICU, the only treatment ever done for the "low" bp was a bolus, which if the patient becomes symptomatic or the bp goes lower, I can easily do without a trip to the PICU. "Well they were very concerned on the other floor when it was that low!" Well, you've constantly complained about the care you received there, and now you want me to react like they do? If I started running around your room like a crazy person will I trick you into thinking I'm incompetent enough to freak out like you are?