I recently switched specialties from ED to OR and I've only had one clinical day (doing a residency) but so far, it feels like the only reason an RN is in the room is because it's state mandated. For...
*UPDATE* I went back and looked at the labs from the day this happened. Her WBC was 8 and lactate was 2.5. ANC was also not elevated. Creatinine was over 6. She eventually had to be started on CRRT...
I wish I had more info. I didn't get a chance to read the triage and we didn't admit her but the pt presented with fever, respiratory retractions, hypotension and tachycardia. She had gone out of the...
We had achieved a MAP greater than 65 but should we still have held the Lasix? Would it have brought her BP down? She also had a fever. I'm sorry, I keep leaving details out. Initially when she...
She was on 4 L NC, with O2 sat fluctuating between 90 and 95%. Based on the CXR, the MD may have suspected PNA but maybe also pulmonary edema?? When we started getting concerned, we asked the MD to...
This website is super helpful! Thank you. I think, initially, the MD thought it was a GI infection. The pt had just got back from an international trip but Munro made a point that it may not have...
I remember knowing her WBC and lactic were elevated. I think the lactic was 2.5. No, my preceptor didn't have any insight about it and I guess I'm trying to understand the patho behind
Not accusatory at all! I really appreciate your response! My preceptor didn't have any insight and I want to be more knowledgeable if I run into this again. This is really
I believe it was cardiac. She had a history of Afib, and HF with an EF 20%, and was in afib during the code. I think based on the CXR, the MD determined it was pnuemonia and we had given her lasix...
I recently started in the ED. I had a patient who came in with Pnuemonia and sepsis. Was on a norepinephrine drip to maintain a MAP>65. Her BP went up, MAP was 80ish. We had to get a stool sample,...