04-11-2008, 01:05 AM
at the Service ICU
Doc... BP=0 HR=0
*Code Blue* (waahhh, toxic talaga duty ko)
sir pakilagay sa cardiac monitor... ahh ok
-ay, sir... ung cardiac board
3:04 pm...
(ang Intubation set)
(nurse) Doc, what ET (endotracheal tube) size? 7.5 or 8.0?
cge, intubate patient now...
(after intubation..)
sir, pa Ambu-Bag
(medical clerk)-> CPR
(nurse) doc, first dose epinephrine given... doc, every 3 or five minutes ba?
(doc) every 3 minutes sir
CPR continues...
(nurse) second dose Epi given
(doc) sir, pa-fast drip ako ng Plain Normal Saline Solution
(doc)-> sir, stop muna CPR, pakitingin ang BP..
(medical clerk)-> sir, wala pa rin
(doc)-> cge, tuloy ang resuscitation
. . .
then... BP=90/60 HR=30's
(doc) nurse, pabigay naman ako atropine
given...
15 minutes passed... CPR continues
(nurse looks at Cardiac Monitor) doc, Ventricular Fribrillation
(doc) ok, defribillate
(nurse) sir, what energy?
(doc) mga 200 [joules] muna pare
(doc) clear
(the team) Clear!
--- delivers shock to the patient
---heart stabilizes
but after that patient deteriorates...
at 3:37 pm, patient was clinically pronounce dead
(me, the nurse)- post mortem care rendered
---
it happened to me on one of my PM (2-10 pm) duty last march, in the 4 bed capacity Service ICU ... wherein with-in my shift , I have 2 deaths, and undergone the resuscitation
sometimes, I'm getting sick of my duty... same toxic scenarios... some of my co-staff says to me "may kalawit ka nanaman"
=^.^=
Doc... BP=0 HR=0
*Code Blue* (waahhh, toxic talaga duty ko)
sir pakilagay sa cardiac monitor... ahh ok
-ay, sir... ung cardiac board
3:04 pm...
(ang Intubation set)
(nurse) Doc, what ET (endotracheal tube) size? 7.5 or 8.0?
cge, intubate patient now...
(after intubation..)
sir, pa Ambu-Bag
(medical clerk)-> CPR
(nurse) doc, first dose epinephrine given... doc, every 3 or five minutes ba?
(doc) every 3 minutes sir
CPR continues...
(nurse) second dose Epi given
(doc) sir, pa-fast drip ako ng Plain Normal Saline Solution
(doc)-> sir, stop muna CPR, pakitingin ang BP..
(medical clerk)-> sir, wala pa rin
(doc)-> cge, tuloy ang resuscitation
. . .
then... BP=90/60 HR=30's
(doc) nurse, pabigay naman ako atropine
given...
15 minutes passed... CPR continues
(nurse looks at Cardiac Monitor) doc, Ventricular Fribrillation
(doc) ok, defribillate
(nurse) sir, what energy?
(doc) mga 200 [joules] muna pare
(doc) clear
(the team) Clear!
--- delivers shock to the patient
---heart stabilizes
but after that patient deteriorates...
at 3:37 pm, patient was clinically pronounce dead
(me, the nurse)- post mortem care rendered
---
it happened to me on one of my PM (2-10 pm) duty last march, in the 4 bed capacity Service ICU ... wherein with-in my shift , I have 2 deaths, and undergone the resuscitation
sometimes, I'm getting sick of my duty... same toxic scenarios... some of my co-staff says to me "may kalawit ka nanaman"
=^.^=
State-of-the-Art
Functionality
Balance
---
"I am more of a Teacher rather than a Pilot"