greyseal

You go to work, we are included in essential personnel :)

Sodium 180. I work at a large teaching hosp and no one had ever seen a person live with this level. Triglyceride level - 2500, his blood was almost white. Cholesterol was 400 also. Lowest glucose - 6, highest - 1200. Both recovered. In end-stage renal - BUN 200, Cr 10, same patient, had refused to be dialyzed, died shortly after of multi-organ failure.

That 150 mg of Trazadone is not a good dose for a pt requesting a "sleeper" who has never taken it before. :chuckle

No meds that would cause diuresis. He was on very few medications. I don't remember exactly what he got in the OR but it was not anywhere compared to what he put out. I would not have been so concerned had it been over a longer period of time but over 15 hours I thought it was alot.

Just a little more info on my pt. He had IVF d/c'd the day before and had only taken in about 15OO cc PO. Also no diabetes, had very little medical hx. Thanks

I also had the same question with a post-op ortho patient. He was 2 days post-op. Pt could not void after pulling foley. So we put another back in, put out 1400 cc. In the next 12 hours he put out 6000cc of yellow urine, not diluted at all. Vitals remained stable. When I called ortho resident (twice overnoc) he didn't seem at all concerned. AM sodium and potassium were fine, he was discharged that morning after the foley was again d/c'd and he voided on his own. I have yet to get an answer as to why this could occur.

Hi, One of the ways it is also easy to give 10 times the dose of insulin is to use a tuberculin syringe instead. I have seen it happen twice, once given and once caught before it was given. I believe it was also written up in one of the Nursing magazines. When I am precepting I always tell the orientee that even if they have to go to another unit to get one always use an insulin syringe. We always double check each other, it is hospital policy.

Hi, Sorry about the first post. I work in a new tele unit. I am charge on nights. I have also have pts myself. We do interventional cath, all gtts, post surgical tele pts, acute MI, CVA, and any other service if we have an open bed, such as colon-rectal, urology, trauma, pulmonary, ortho, neuro, neurosurgery etc that do not need tele. Our floor has 21 beds. We do not pull our own lines. We are staffed with 75% new grads. No one has any tele experience, including myself. We should be staffed 4 nurses on nights, but this does not always happen. Sometimes there are all new grads on days on the weekends. I am very nervous about missing subtle changes in the tele patients. The major changes are no problem. We have no ongoing education on cardiac meds, treatments etc. We learn as the patients come to the floors. The new grads are very overwhelmed with the complex medical, barely having enough time to learn telemetry. We all had 3 classes on cardiac nursing months and months ago. There is no one to learn from on an ongoing basis on off shifts and weekends. I also posted on the general discussion board before I realized there was a specialized board. This does not seem like a safe situation to me, I am thinking of leaving. I have brought this up to my manager to no avail. I appreciate anyones opinion or advice.