Had to work again on Saturday at 6am. Came in, saw my patients, did a progress note, then went to check out labs and found out one of my patients has VRE [vancomycin resistant enterococci] on blood culture. I cant stop washing my hands now....
code blue this morning. patient was in the ICU. 64yo female dying from liver damage. her organs are failing...basically all from alcohol. i couldnt figure out what rhythm she had on the monitor so i asked the intern and she looked at it and was just as confused as i was. After, we spoke to the nurse taking care of her and i asked again, "what rhythm is she in? "nurse replied "she has been in everything. its a medication rhythm. shes basically dead." apparently they were waiting for the family to show up and her pulse was the result of vasopressors. her heart was bradycardic, then tachy, had random PVCs, then went randomly into lots of other rhythms. we left the code because she technically still was alive but we expected to be there again shortly when she went into asystole inevitably [the second the drugs wear off her heart would stop]. she never coded again while i was in the hospital but i would assume she will die sometime today.
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