Quote from CCU NRS
Remember you can always have the Pt bear down as if trying to have a BM, ....
...Back when i worked step-down we had a patient go into a fast SVT...i rush to the room to check things out and help if needed (was another nurses patient). This poor little old lady was diaphoretic, short of breath, having chest pain, and just in general looking very sick. The nurse caring for the patient was standing over her, attempting to have the patient valsalva... conversation went like this:
nurse:.."...bear down like you're pooping!.."
Patient: "..i cant breath.."
nurse "...push down like you're pooping!!.."
p: "..what?...i cant breath?'..
p: "...poop??....i need help!...i cant make it to the bathroom.."
n: "..no, if you poop the bed it's OK!...just bear down like you're pooping!!..c'mon, you can do it!!...."
p: "..call my doctor!...you're crazy.."
At this point, the patient's diaphoretic because of her condition, the nurse was diaphoretic because her patient's crashing, and i was diaphoretic because i was having difficulty containing my laughter.
What an absurd situation/conversation...
nurse was too worked up to explain herself, pt too sick to understand anything...
Now, i understand the potential benefits of the valsalva...but this incident tickles me to no end...