sharkiern357

First le me start my saying i am a addict. i know this and cant control my behavior sometimes. I go on benges every two or three weeks that last two days. then i would get myself all cleaned up for work. I went to rehad twice. No dice just small times of recovery. My addiction is to cocaine by the way. I am not in trouble at work. the board is unaware. My job s great i just scare because its a new job and n still in the 90 Days. I talk to my jobs recovery program and they have a crap load of people in it. i means well over 150 in the system. Im in michigan so i will be going through HPRP. I been off work for a couple of days . i checked myself into the hospital under dehydration and stayed for two days the rehydrated me well andgot me back on my feet. im just sick of this marry go round. I think that if i had some accountablity i would get and stay clean. Just here looking for woords of encouragement and advice. Any people here currently of HPRP or have been through it.

This patient sounds as if he is suffering from hypovolemic shock. This is a common complication if abdominal surgery. Secondary complication could be internal bleeding. The diagnosis has to be based on patient examination and factual evidence such as studies. The assessment should include a head to toe with focus on the abdominal cavity. Lab should include a CBC and CMP this will rule out dehydration vs internal bleed. Next a CAT scan of the abdomen for bleeding, obstruction. No contrast should be used secondary to fear of perforation. The Doctor of course should be notified immediatly to obtain this orders and should have been contact at the first signs of distress with technically occured within the first hour of the patients care.