Re: was i out of line with this resident?
If it would have been serious enough, we would have just done that. This guy is an anaesthesia resident, an R5... thinks he's all that and a bag of chips. Had another little run in with him the other day... neonate post-op arterial switch, open sternum, being paced, has a rising K+ of 5.8 on D25 and insulin and has a falling BG of 86. He tells me to increase the insulin from 0.025 units/kg/hr to 0.03 units/kg/hour and turns away to resume his conversation with someone else. I reminded him of the BG and how fast it was falling. "Oh, yeah. Maybe we should increase the D25..." It's like he can only think about one thing at a time... how does he ever manage in the OR?
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