trinay30

Lung sounds were clear, O2 sat 95-97 on 2 liters of O2. Only meds I gave were BB, Stool Softner and 81mg ASA. Don't remember the BUN, but the Creat was 2 and these values were trending upward for days s/p two Heart Caths within two days. The patients comorbids were CHF, Lung Disease, DM, OSA, CAD

I don't remember the exact number for the BUN and I think Creatinine was like 2? Just know that these values had been trending up for the last few days. The patient is a 70+ y.o. s/p two Heart Caths within two days and comorbidities, CHF, Lung Disease, Diabetic, CAD. His O2 sats were in the 95-97% on two liters of oxygen. The kicker is, that he night RN had called Rapid Reponse on her shift, due to the patient c/o SOB and Chest pain, which she had administered Morphine.

A patient that I took care of was steadily exhibiting an increase in AMS. The attending was notified and orders were placed for a neurology consult. No patients vitals were stable for the exception of low temp and abnormal BUN and Creatinine steadily increasing, for which Renal was also on the case, Attending was aware. No orders were given to hold any morning meds. By the afternoon I had to call a Rapid Response because of the patients increased AMS, he was almost catatonic. The team drew ABGs and put him on bipap. He was transferred to ICU and intubated. The next day when reading the Nephrology notes as to the incident he wrote (presumed medication induced)? Just wondering if he was implicating me for administering the patients morning meds? He also wrote an order for Lasix IV which was given prior to the patient being transferred to the ICU. Were my actions or judgment the cause of the patients decline? Very worried!!!!

"You forgot to wear your PPE again"?

"Looks like we need to call a CODE GREEN"