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Discussion

When things at work make you think of allnurses.com

A few weeks ago I was reading a thread on here about pushing a med when a patient already has something infusing into a line and the two aren't compatable. A few people mentioned that, depending what's already infusing into the current IV, you might need to start a new line. I had not really thought about that fact since I haven't been in that situation. Normally I would just stop the infusion, flush the line, push the med, and flush and restart the infusion.

Fastforward to a few nights ago....

I had a patient on a Bumex drip. Their pressure and hr was dropping (bp 80s/50s, hr in the 40s), so the MD wanted to start a Dopamine drip. Ergo, I had to start a second line. Now the patient had 2 med infusing, neither of which I could stop. And then the patient was having severe pain, so the MD ordered Morphine. So there I am, with a patient with 2 IV infusions that can't be stopped and a med I need to push. My first thought was... "This is what they were talking about on allnurses!" :lol2:

So I put a 3rd peripheral line in. :cool:

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    I think of things I've read here MANY times when I'm at work! I have learned A LOT

    here from some very smart/experienced nurses!! Not to mention some of the lighter/funnier things I've read here that happen to me, also....

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    The nurses I work with think I'm so smart because I've learned so much from this board. (They don't know it's from this board...) I'm MedSurg but enjoy reading the other Nursing Specialty boards. I'm American but I've learned tons about nursing in the UK and Oceania. I've only worked five years in a hospital, but I've learned so much about "the way things were." I've also picked up some fun terminology.

    I just wish I had found this board when I was in nursing school, not a year after starting work as an RN!

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    wow..really really great thread.. glad to know the patient was ok..risky drugs interacting there though..

    im a foreign grad.. and normally there's a standing order to d/c bumex drip at a certain BP, usually 90/60 in our hospital..

    another thing.. the MD couldnt override the PCP with the bumex drip, in this case

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    i forgot the question mark..

    "another thing.. the MD couldnt override the PCP with the bumex drip, in this case ?"

    yep.. i so love love allnurses.. learning lots..

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