GingerRN

Thanks for responding....yes...neg affect...pt presents to Er in resp. distress..v/s 97.7 ax, 94, resp 30 rapid, shallow and labored, bp 135/52 spo2 89% with Alb/atrov in progress. audible rattling-lungs diminished in lower lobes with scattered rhonchi throughout bilat. rattling clears with cough after tx. O2 15L/min NR...ekg, abg, lab, pcxr all ordered...pt pale, not cyanotic on arrival, no JVD, no dependent edema. Sinus Tach on Ecg monitor. Pt A/O x 2. Vague hx...only "recent sore throat with cough...weaker the last two days", and "diabetic..she takes glucophage", and "had an MI in 1989"...that's all I got from pt, family, and EMS......I tko'd the NS....but, I am being questioned why I didn't dc it. They way I look at it I need a Dr order to start it....I need one to stop it. Oh...and the Dr was there. Am I correct? Did I need the order to dc? The NS was initiated by EMS.

Can I d/c a IV NS Bolus without a Dr. order?