everyone is stumped - page 2

by **LaurelRN 3,688 Views | 15 Comments

So here's the scoop. I work in a small community hospital- a general ICU. The bottom line is- everyone- including our doc's are completely stumped. Here's the details... 57 y/o female HX: HTN, depression, MI, cardiac stent... Read More


  1. 0
    Thanks everyone for your input. Sadly, this pt did not survive. Later, we found out that she had sleep apnea and the MD's believe that she prob had some sort of reaction to the house fogger and b/c of her apnea started having resp distress. Then due to the distress with combo apnea became hypoxic and had a seizure. Unbelievably, after a fentanyl, ativan, and diprivan gtt, she became hypotensive- even after they were d/c'd - had to start Levo. Anyway- thanks for everyone's input- it was a wild ride!
  2. 0
    Quote from meandragonbrett
    I would assume that thyroid studies have been done and are normal?
    I was thinking the same thing!
  3. 0
    I'm still curious-what causes green sweat?
  4. 0
    Quote from LaurelethRN Sulfate
    Thanks everyone for your input. Sadly, this pt did not survive. Later, we found out that she had sleep apnea and the MD's believe that she prob had some sort of reaction to the house fogger and b/c of her apnea started having resp distress. Then due to the distress with combo apnea became hypoxic and had a seizure. Unbelievably, after a fentanyl, ativan, and diprivan gtt, she became hypotensive- even after they were d/c'd - had to start Levo. Anyway- thanks for everyone's input- it was a wild ride!
    we had a patient who had hypoxic respiratory failure because her housekeeper used a bug spray (I think it was Raid) as a furniture spray (I guess she thought it was Endust or Pledge!) Anyway, the patient had severe methemoglobinemea which we treated with methylene blue. I don't remember anyone commenting on green sweat, though.
  5. 0
    Quote from detroitdano
    Intubate her and start her on Propofol and be done with it! Would probably fix her blood pressure too lol
    Bingo!
  6. 0
    why no nitro or cardene?


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