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What a Difference 3 days makes!

Posted Aug 25 2008 6:50pm
I don't really have a lot of time to write much here today but I thought I would put a little something up on the Ol ' Blog.



I was off for 3 days and when I get back it's crazy busy here. This is the classic "Feast or Famine" in my little hospital and we are definitely feasting over here.



When I last worked I had a whole two Q4's to do through the night, now 3 days later there are 7 Q4's and a ventilator to keep me busy. Much to my surprise though all of these Q4 treatments are actually really sick. Forgot to mention the 2 bipap's we have running also which are not for sleep apnea but for respiratory distress, so yes they happen to be pretty sick to.



A common theme I noticed with these sick patients and with some of the QID patients also was that there is a Mucomyst craze right now that just seem to have started. Not only is it Mucomyst there is this large concotion of Mucomyst , Albuterol or Xoponex , and Atrovent together ... but wait there is more, not only do we throw in those 3 meds we add it all to a Ezpap . This takes FOREVER! There are also the bonus patients who twice a day get to add in Pulmicort , WOW what treatment that becomes.



Sounds like the last 3 days there have been an extra RT per shift which is good but very unusual at my hospital. My night tonight I had someone here til 2am then again at 4am so I only had to brave it alone for only 2 hours, really wasn't that bad but most of the other RT's have never worked in a Large hospital and are not used to a heavy patient load...I am so I was fine.



Well gotta run just ran a ABG with a CO2 of 91 and a PH of 7.20, time to go save someone.



After that my next task is to get off work and hope my car starts since it is -20 degrees Fahrenheit right now and I will be wearing the nice and thin scrub pants... brrrrr



Keep em breathing.
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