barrymedic

Yep...picked them up in hospital parking lot and transported to another hospital. I always give the receiving ER nurse all the details. Sucks at 3am! This was in reply to a another post about discharging patients who after discharge call ambulance to take them to another hospital.

Thinking about serotonin syndrome also. An over dose of her paxil may have caused it.

She is on multiple meds that should be used with caution in the presence of renal insufficiency, causing electrolyte imbalance followed by altered LOC. She goes unresponsive and develops pneumonia from lying on the floor for extended period. She has now become septic. Full urine and blood screen including drug screen. CT/MRI to rule out CVA and possible fractures. Obtain a better history of the patient prior to last known normal from neighbors and daughter. Monitor ABC's, V/S, watch for cardiac dysrhythmias, change in neurological status because these things can change quickly in the presence of sepsis. Monitor effects/side effects of any treatments that are already being provided. IV antibiotics for pneumonia.

It didn't sound right to me. It was a 2mg/5ml concentration running at 30ml/hr. 2mg/500ml at 30ml/hr or 2mg/5ml at 3ml/hr is with in normal dosing range that I am familiar with. I think some one made a big mistake.

I am a paramedic for a rural 911 EMS service. We are a county based service and have a small hospital with an ICU. They stabilize many patients, from sepsis to post cardiac arrest. We transport these patients to other facilities that are at a minimum of an hour away. They have multiple drips, blood, plasma and we mix and start drips in route if needed. I recently transported a post cardiac arrest that was on dobutamine and an epinephrine infusion of 200mcg/min. This is the first epi drip of this dose I have dealt with. Is this an old dosing or new dosing regiment?