Reply To: working the night shift

nope. it was 1 pt. he was admitted for R hip pain last week (had him my first day). over the week his fever got worse, blood culture came back MRSA +, he developed SOB…final diagnosis is DVT in the right femoral and common iliac veins IIRC, R hip abscess, L lung PN and possible PE; docs also considered him septic secondary to MRSA. oh and he has ADHD and bipolar-depression.

“Ok, since you researched it all -tell me how to recognize & treat Stat Epi. Go in order of therapy -which first and so on. Also tell me how to administer and dosage.”

NO. i dont want to. plain and simple as that. i will tell you standard nursing interventions r/t seizure precautions if you want but i will not list dosages and routes. i listed some of the meds above. first med is diazepam. other meds used are lorazepam, phenytoin. for refractory, phenobarb or other barbiturates. optimal route is IV and dosage is mg(mcg)/kg

the seizure pt was not my assigned pt but did assist in his care. the dvt pt was my assignment when he was first admitted and again this week. last night i had him he was s/p gunther tulip filter placement, abscess drainage and placement of 2 jp’s.