i kinda feel like an idiot....

Nurses General Nursing

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Last night I got home from a 16 hr shift around11pm. I smooched around on my hubby, got a snack and sat down to surf the web for a while. I started coughing, thinking "ugh these allergies suck". but the cough kept on, getting worse. it was a hacking cough. i felt like i had a mucus plug stuck in the bottom of my throat that i couldnt cough up. i started wheezing very badly and suddenly felt like i couldnt get any air. My extremities got flushed, felt like needles were pricking me and then i started having chest pain.

i use a bipap with O2 bled into it at night so being the good nurse i am i put some O2 on. I have a h/o COPD and am a smoker. the chest pain kept getting worse and so did the feeling of something stuck in my throat (but not like i was choking, more like mucus stuck there still). i was using my inhaler trying to open myself up to cough this out but the chest pain got worse.

then suddenly i got this horrible feeling of "omg i am going to die". i cant explain what it felt like but it was kinda like God was yelling in my head "go to the hospital!". (i have only been to the ER once in my life and that was a PE 2 yrs ago but this didnt feel like it did with the PE). it was the most horrible feeling i've ever had, like this impending doom that i was having a heart attack. my chest kept hurting, i was nauseated slightly and still trying to cough that out of my throat.

it freaked me out so bad that i had my husband take me to the ER. he is the sweetest man. he felt i was having a panic attack from over using my inhaler and tried to calm me but i kept saying "i really think something is horribly wrong" so he took me to the ER.

about 15 min of being there, after the EKG, stat labs, ABGs, o2 I was able to cough and it felt like that plug in my throat cleared then my chest pain went away and i was able to calm down. it was at that point i realized my husband was right, i had freaked out because i couldn't breathe well. all my symptoms completely cleared in less than an hour of being there.

thats when i started feeling like the biggest idiot that ever walked this earth. here i was, an RN for God's sake, not to mention i work with these people...and i had over reacted like an idiot.

thats when i told the nurses "omg, I'm so sorry, can i just go home?" (lol, yeah like they were going to let me just leave, lol, but i tried). they were the nicest guys! a patient couldnt have been treated better. i told them all i was sorry for wasting their time AND their trauma room. i wanted to crawl in a hole i was so embarrassed.

they had all my test results back in no time and i was there less than 3 hrs. the doc said he thought that i had panic'd and also had some muscle spasms in my chest. i think i just freaked out from the albuterol and the wheezing.

like i said, that was only my 2nd time in the ER and i really feel like a big ole drama queen today.

have yall ever done anything stoopid like that or had a patient do it? i feel like sending them a card or something, lol.

ugh.

Specializes in Rehab, Infection, LTC.

lol, nobody lissns to me either, lol

Specializes in Emergency Room.

you're human. if i felt like that i would have went to the ER also and you shouldn't apologize for it. i'm glad it wasn't something more serious.

its so nice to hear tht everything turned out okkk. i hope u'll quit smoking v soon.

Specializes in LTC, Disease Management, smoking Cessati.

Better to fee a little embarrassed than die from an MI or another PE. It's never silly to get chest pain and SOB evaluated! Now smile that you were not in serious trouble and do it again if you think you are.....

Have a good one!

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.

don't feel like an idiot. getting checked out when you were worried was the right thing to do!

and since you've asked, i've been to the er with chest pain once (they diagnosed chest pain from coughing with an uri.) i went in once with palpitations and a heart rate in the 200s -- diagnosed dehydration (it was july and 100 degrees here) and stress (i had driven my step-daughter to her dance class in d.c. -- i hate to drive in d.c.!) i felt like an absolute idiot both times, but at least i didn't get naked where i worked -- i made sure not to go to my own hospital both times!

Specializes in LTC, Acute Care.

I went to the ER once for abdominal pain that made tears come to my eyes, and I'm pretty tough, so this was bad. When I got the abdominal x-ray, the PA came back and said, "Your colon is twice the size it should be." I left the ER with the recommendation to take some mag citrate and stay at home while it was cleaning me the heck out.

Yes, I went to the ER for constipation, so my reason was way way stupid. :)

I would have gone to the ER with your symptoms, too. Best of luck with the quitting smoking!

can you tell me how you quit? what did you do? any advice would be much appreciated.

I'm not the poster you were responding to, but...

I'm at just about 3 months into quitting (last cig 3/20) *this time*.

My history: smoked from age 16 to 26, 'bout 1ppd. Quit with patches (full 6 week run), stayed off for ~5 years.

Started up again, and limped along at ~ 1/2 ppd for another 4 years.

In January of this year, I started on Welbutrin. By March, I decided I wasn't going to take it anymore (decided I wasn't depressed, just lazy; seriously, shaky hands was compromising my ability to do the procedures necessary to my job). However, I figured I'd be an idiot not to take the opportunity to quit smoking while I still had plenty of buproprion in my system.

I didn't think the med would make a difference...I had a few old patches left from a previous attempt, and 1-2 pieces of ancient nicorrette gum. I was sure I'd have to get another 6-week supply of patches. However, it only took 2-3 days to go from one cig/day to 0, and the cravings, though there, were very manageable. As I said, I've been "sober" ever since. Plus, now I've been off the buproprion for > 1 month, and I'm not having any cravings (well, *almost* none, very deal-able). My wife still smokes, so backsliding would be very easy if I was so inclined.

You have my very, very best wishes. I am very much a libertarian when it comes to personal habits, but since *you* have decided to quit, you have my full support and sympathy.

I actually started working out again this week (I have gotten soooo fat in my first two years of nursing!), and I can BREATHE, halleluja!

Specializes in Med/Surg, Home Health.

I experienced the same thing. The more I panicked, the worse my symptoms became. My HR was in the 160's, I had chest pain, SOB, etc. I was convinced I was having a heart attack. I went to the ER, they even admitted me for observation. I was mortified, once I calmed down I knew I was having an anxiety attack. I knew I was fine, but they wouldnt discharge me. And after talking to several of my coworkers afterward, there have been MANY nurses experience the same thing.

You were not stupid at all, especially with a h/o PE. Its better to be safe than sorry. Im glad you are ok. I smoke too, I wish you and I both would quit.

Specializes in Med/Surg, Home Health.

For anyone who wants to quit smoking....CHANTIX! I know soooooo many people who smoked for YEARS and quit easily. My mom had smoked for 50 years and quit with Chantix. I took Chantix, I had to MAKE myself smoke, but it made me feel "funny" and I just couldnt continue taking it.

Actually, I used to get panic attacks all the time a few years ago, so I do know how real they can feel. I was even picked up by an ambulance once because I was convinced I had a heart attack (I was 20 at the time). also went to the ER a couple times. At the time, I was a smoker also, and suffered from allergies. I quit smoking four years ago. My allergies have improved significantly since then, and best of all, I do not get these horrible panic attacks anymore.

Do yourself a favor- QUIT!!! :)

Specializes in Rehab, Infection, LTC.
I experienced the same thing. The more I panicked, the worse my symptoms became. My HR was in the 160's, I had chest pain, SOB, etc. I was convinced I was having a heart attack. I went to the ER, they even admitted me for observation. I was mortified, once I calmed down I knew I was having an anxiety attack. I knew I was fine, but they wouldnt discharge me. And after talking to several of my coworkers afterward, there have been MANY nurses experience the same thing.

You were not stupid at all, especially with a h/o PE. Its better to be safe than sorry. Im glad you are ok. I smoke too, I wish you and I both would quit.

OMG thats EXACTLY how i felt! the chest pain, the tachycardia, sob...all of it and as soon as i started calming down i could have crawled in a hole, lol. they wouldnt let me leave either. even when i begged them to forget they ever saw me, lol. they were worried with my history of a PE even tho i kept saying i just knew it wasnt a PE (lol, what? im my own diagnostic machine now?).

the same exact thing happnd to me last night! i suddenly felt like i had this snot in my throat i couldnt clear and the more i coughed, the more panicked i got. i took some benadryl and after about an hour it went away. i'm thinking now that maybe my allergies have gone haywire? i'm taking mucinex to thin that stuff out and see if thats the culprit. i felt like it was almost blocking my airway but i could still breathe. i just dont understand why i am panicking about it. i've never done this before. my legs felt like needles were pricking it, i couldnt sit down because i *thought* i was breathing better standing up. but this time i made myself sit down and calm down and it did go away. the only thing i have to compare it to was when i was taking amoxicillin and developed an allergy to it and had bronchial spasms and stridor. thats how i felt except i really was getting air in my lungs. im on nothing new, med wise...nothing i could be having a reaction to. its just weird and scary. my husband was so sweet. he hugged me when it was over, telling me how proud of me he was that i was able to calm down. and then when i went to bed, i freaked out when i put my bipap mask on. thats something i never do because i LOVE my bipap. i made myself leave it on and just prayed to God to calm me down and He did. i think i've lost my mind, lol.

i'm definitely going to quit...wanna do it with me??

Specializes in Rehab, Infection, LTC.
I'm not the poster you were responding to, but...

I'm at just about 3 months into quitting (last cig 3/20) *this time*.

My history: smoked from age 16 to 26, 'bout 1ppd. Quit with patches (full 6 week run), stayed off for ~5 years.

Started up again, and limped along at ~ 1/2 ppd for another 4 years.

In January of this year, I started on Welbutrin. By March, I decided I wasn't going to take it anymore (decided I wasn't depressed, just lazy; seriously, shaky hands was compromising my ability to do the procedures necessary to my job). However, I figured I'd be an idiot not to take the opportunity to quit smoking while I still had plenty of buproprion in my system.

I didn't think the med would make a difference...I had a few old patches left from a previous attempt, and 1-2 pieces of ancient nicorrette gum. I was sure I'd have to get another 6-week supply of patches. However, it only took 2-3 days to go from one cig/day to 0, and the cravings, though there, were very manageable. As I said, I've been "sober" ever since. Plus, now I've been off the buproprion for > 1 month, and I'm not having any cravings (well, *almost* none, very deal-able). My wife still smokes, so backsliding would be very easy if I was so inclined.

You have my very, very best wishes. I am very much a libertarian when it comes to personal habits, but since *you* have decided to quit, you have my full support and sympathy.

I actually started working out again this week (I have gotten soooo fat in my first two years of nursing!), and I can BREATHE, halleluja!

a nurse i work with is taking wellbutrin and she has quit too. after hearing from you both...i just left my doc a message asking for wellbutrin too!

how long did you take it before you noticed a difference? did you just start taking it and quit the same day?

i quit smoking when i threw that PE. i didnt smoke fore 6 months. my husband held me hostage in the house for 2 weeks after i got home from the hospital. i wasnt allowed to leave for anything because he knew i'd go get cigarettes, lol. and it worked. i used the patches and just darn quit. i could kick my own butt for smoking again!

i wouldnt know how to act if i could actually breathe while doing something physical, lol

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