AM code

exhaustion. need to vent. pt received from the ed 0600. 92 yom r/i NSTEMI, CVA. within 10 min. pt in resp distress (sbp=199, 88 sinus, resps 28-32, sat92%2L): 12 lead ekg, neb treatment done, sublingual ntg x1, resident in to eval. pt now c/o 7/10 chest pain: 80 mcg iv NTG, 40 mg iv lasix, with no improvement. now 0618. pt desats to 89%. placed on NRB. desats to 83%NRB, becomes unresponsive. code called, pt intubated by 0625. ARRRRRRGH! thank god i'm home now. it really all went pretty smoothly, looking back on it; he never lost a pulse and we got him intubated pretty quickly... but some mornings just suck.

here i am thinking i will get this admission tucked in, do the paper work and go home. well... maybe i'll manage his chest pain and push some lasix, get him comfortable, do the paperwork and go home. well... maybe i'll code him, do the paperwork and go home. :chuckle