the pt i had last night had a. fib, HR went to 130; due to he had had a.fib two days ago so that i did not call doctor at 0300 am. plus, pt was asymptomatic.
when i called the doctor later, i tried to make myself clear by saying, "he started to have a.fib at 0300 am, asymptomatic; i held metoprolol because his SBP was less than 90 last night. when his SBP increased to 94, i gave him the med at 0530. right now he is still a.fib. HR 80's."
the doc was not satisfied with what i was saying. he asked me, "why didn't call me at 0300 am (he forgot that this was not new to the pt)? is there any critical thing (to call me)? what do you want me to do?" to be honest, except for letting him know what was going on the pt, i do not know why i called him.
call him or not call him?
any suggestion on how to do if you were me? I would appreciate any input.