In my two years of nursing, I had yet to see a patient have a seizure...right in front of me. So last night I was working my contingent job which is on a stepdown unit. And had a patient who was 78 yo with a diagnosis of CHF and COPD exacerbation. He was also on Coumadin for Afib. So I'm in the room, putting some stuff away, chit chatting with the patient who by the way is alert and oriented x 3. I turn around for a moment away from the patient and then turn back and his face is twitching.
It would start on the left side and then move over to the right side. The whole time he is still a/o x3. So I called our unit's PA and tell her to come quickly I think the patient is seizing. She comes to evaluate the patient and we call the house physcian also. He comes, evaluates the patient. I switched into ICU nurse mode sort of and start inserting an 18 gauge IV and draw some coags and a CBC. Sent the patient with the STAT nurse to CT scan of the head. She came back and said, "you might want to call the doc, they found a bleed"..
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Called the house doc and told him what the nurse told me, he calls the radiologist and sure enough there are two small bleeds. He then orders 2 units of FFP which I give before sending the patient to ICU. It was a crazy night last night but the charge nurse said, "you were moving sooo fast. Thank god you were here tonight"
:no: