Wow, what a day yesterday. I typically try to pull most of my visits to M, T, W, Th and have an easy day on Friday with just a few visits. But my husband and daughter both ended up with the flu on Thursday so I stayed closer to home and moved my visits to Friday. I had already scheduled an appointment for Friday morning so after that I had 9 visits and then a Start. ANd in amongst all that was a staff meeting that I conference called into about staffing for the holidays. So I finished my my 9 visits and went to my Start of Care and found the patients rigid, arms drawn up, mouth clenched. He was already severely handicapped so I wasn't real sure if this was his baseline. Deep breath in and here we go-could not get a blood pressure, tachycardic, tachypnec, diaphoretic. Dad says he gave him PO Haldol, check the drug book and there in red what do I find-Neuroleptic Malignant Syndrome. Surely you jest, check the symptoms, um yeah, spot on match. Called EMS, shipped off the the ED.
If that was the right undiagnosised call, chalk one up for the field nurses! I'm going to swing by the ED shortly to see what happened to him.