I almost drowned my patient because of all the blood products I was transfusing. He has a case of Acute Myelocytic Leukemia and was on the verge of an Acute Kidney Injury. I only drained 7 mL of urine my entire shift. After transfusing 2 units of Fresh Frozen Plasma, I immediately transfused another unit of PRBC because I was so concerned with his hemoglobin which was only 7.8. I forgot that he was not producing any urine. I was only focused on escalating his hemoglobin to at least 10. Nothing bad happened to the patient. Thank God. He only had fine crackles bilaterally which wasn’t present at the start of my shift. Nothing that a good suctioning can’t fix. Hehe. I was also worried when he started desaturating to as low as 86%. I transferred the pulse oximeter sensor to his ear and immediately sats went up to as high as 93%. His usual sats was between 90-91%. Thank God, again! :)
The shift ended with a surprise in the urobag. It was 150 mL worth of amber colored urine. Yey. At least his kidney is trying its best to eliminate the excess fluid I have been giving him. I hope he recovers fast. Even with his AML. :)
I just hate it when all I can talk to my friends is work. It’s always about patients, ICU and the hospital. I have got to get a life outside CHH. I am becoming more boring to talk with each day.
But when you assess her objectively:
(1) Normal respiratory rate; (2) Accessory muscles unused; (3) Clear breath sounds; (4) Normal VTE; (5) Normal Pressure Limitations; (6) No desaturation (7) She looked pretty comfortable with current vent settings.
And I’m like:
Why did you have to wait until the end of my shift to order all those crap for my patient, Ms. Resident? How am I supposed to go home on time? No worries. Just be cool. :)