Ruth06

I'm 29 yrs old and I took Phentermine 2 yrs ago for about 3 mo. and again 1 1/2 yrs ago for about 2wks. The last time I took it I had a horrible reaction to it (chest pain, nubmness/;tingling all over my body). I immediately quit taking it and seemed to be ok. Mind you I dealt with anorexia off and on for 7 yrs in my teens and even abused laxatives for 6 mo when I was 18 so I'm probably the last person that should have been taking any diet pills but I knew so many ppl that were taking it and I had put on the freshman 15 in nursing school right before my wedding.Blah. FYI I never took more than prescribed. I did drink alot of monsters in my early 20's though (also not smart). I had been an smoking the last two years up until the chest pains started and have since stopped. I was ok for about a year and a half after taking the phentermine. However, about 5 mo. ago I started experiencing chest pains off and on. I went to the ER twice when it 1st started and my EKGs, Troponins, and chest XRs all were normal. I had an echo done though and it showed an estimated pulmonary artery pressure of 37mmHg suggestive of pulmonary hypertension. My primary sent me to a cardiologist who said he wasn't concerned at all with my arterial pressure which seemed strange to me since

We do have phlebotomists but we are a very small hospital and sometimes even a stat lab order won't get drawn right away( it took them 20 min to come draw it). It took an hour from the time it was drawn to get the results, in which time I called them twice to see why it was taking so long bc the doctor was telling me to go ahead and start it bc the circulation was so poor in her foot. I went ahead and gave the initial bonus per the doctors orders and then told her I didn't feel comfortable starting the drip w/o the baseline Ptt. I documented well but I hated going against protocol. Thankfully we ended up shipping the pt quickly after the bolus bc we just don't have the specialists that this pt was going to need.

She didn't state that she wanted a baseline but it's our protocol to get one.

I had a doctor that wanted a or started on a heparin drip immediately and my lady was a hard stick. My question is can I have lab backorder/run a Ptt and pt/inr off a previous CBC (done 2 hrs prior) that was drawn that morning to use as a baseline? I'm not sure what is involved in running the different labs. Just wondering if that was possible. It would have saved me a lot of time and trouble.