How does this happen??? - page 3
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Dec 20, '12 by classicdamelots of things could have been at play here because so many people were involved. This is why it is impt to complete incident reports, so the root cause can be determined and a plan created to limit future incidences. -
Dec 20, '12 by ~*Stargazer*~Quote from SionainnRNSometimes you can have more than one thing going on. Sometimes docs order interventions to rule things out, or to get the problem to declare itself. There are a lot of possible explanations.But if it was just about the blood sugar, the patient wouldn't have been placed on a narcan drip. -
Dec 21, '12 by SionainnRNQuote from ~*Stargazer*~Yes but a narcan drip is pretty rare so for them to place the pt on it, rather than just doing IV pushes I think it's safe to say it was a narcotic issue. Granted it can all be exacerbated by the diabetes and slow clearing of the drugs. But if it was mainly a sugar issue there wouldn't have been a need for the narcan drip.
Sometimes you can have more than one thing going on. Sometimes docs order interventions to rule things out, or to get the problem to declare itself. There are a lot of possible explanations. -
Dec 21, '12 by Orange TreeQuote from KatieP86I've asked a PCA for a fingerstick right now while running to grab D-50 from the pixis. Result of less than 28 was popping up when I walked back into the room and we were ready to go.I can't believe a nurse came looking for a PCA when they needed an URGENT finger stick!! - Dec 21, '12 by ~*Stargazer*~Quote from SionainnRNYes, you make some good points, but remember that the patient was whisked off to the ICU without a Narcan drip. The drip would have been started in the ICU. We don't know if that occurred, and if it did, what the outcome was.Yes but a narcan drip is pretty rare so for them to place the pt on it, rather than just doing IV pushes I think it's safe to say it was a narcotic issue. Granted it can all be exacerbated by the diabetes and slow clearing of the drugs. But if it was mainly a sugar issue there wouldn't have been a need for the narcan drip.
- Dec 22, '12 by SionainnRNQuote from ~*Stargazer*~True, who knows what happened after getting to the ICU.Yes, you make some good points, but remember that the patient was whisked off to the ICU without a Narcan drip. The drip would have been started in the ICU. We don't know if that occurred, and if it did, what the outcome was.