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10 | Interactive Ward Ethics
https://interactivewardethics.wordpress.com/2014/10/18/10-4
October 18, 2014. When she returned the blood pressure was a little better, but there was no urine in the urometer. She did a venous blood gas, and the lactate was high. ‘I’m losing this,’ she thought. One more chance? Another fluid challenge. She wrote it up. The nurse commented, ‘He’s a bit hypoxic now. He’s on 40% now.’. 8216;It’s OK Tracey, give the fluid.’. 8216;Do we put a MET call out if he scores? 8216;No. I’m coming back in 20 minutes.’. 8216;OK Nina.’. 14 Reconsider the diagnosis.
7 | Interactive Ward Ethics
https://interactivewardethics.wordpress.com/2014/10/18/7-4
October 18, 2014. Marcus arrived, exuding reluctance. He looked at the patient, reviewed the recent blood tests and pronounced,. 8220;Yeah, he clearly needs to go to intensive care. Good call. Can you call the ICU registrar and get them up here? I’ll wander down to the unit and discuss it too. But give him some fluid will you, we need to show we’ve at least tried to resuscitate him a bit. But it won’t save him from an ICU admission. Give him a litre stat.”. Leave a Reply Cancel reply.
12 | Interactive Ward Ethics
https://interactivewardethics.wordpress.com/2014/10/18/12-4
October 18, 2014. Hi It’s Nina, the House Officer covering the wards. Can I ask your help with a patient? Go ahead. He was gruff. He sounded busy. Nina summarised the case. So what have you done? What could she say? You’ve barely touched him. That’s not resuscitation. Sorry, but I’ve got a feeling about him. He’s not responded. He hasn’t a chance to yet. Give him another litre and a half at least and let me know. 6 Agree to carry on. 15 Insist that the registrar attends. Leave a Reply Cancel reply.
13 | Interactive Ward Ethics
https://interactivewardethics.wordpress.com/2014/10/18/13-4
October 18, 2014. When Nina returned the registrar, Marcus, was with the patient. He was listening to the patient’s chest with his stethoscope, and frowning. 8220;I happened to be passing through. The nurse was worried. He’s drowning! What’s the fluid balance? As soon as she heard this Nona knew she had messed it up. There was more to this situation than met her eye. She looked at the fluid chart, although she knew the answer already. 8220;Nearly 5 litres.”. 8220;About now.”. Leave a Reply Cancel reply.
4 | Interactive Ward Ethics
https://interactivewardethics.wordpress.com/2014/10/18/4-4
October 18, 2014. Nina made the decision that his condition was not significantly worse than it had been. The incoming shift of nurses were just a bit horrified by the look of him, hence the call. We’ll need to discuss this tomorrow. Why didn’t you. Leave a Reply Cancel reply. Enter your comment here. Fill in your details below or click an icon to log in:. Address never made public). You are commenting using your WordPress.com account. ( Log Out. You are commenting using your Google account. ( Log Out.
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Interactive Ward Ethics | You decide
1 – Independent. October 18, 2014. This takes us back to Nina’s early years in medicine. She was a pre-registration House Officer, or Foundation Year 1 doctor in modern parlance. Always keen to develop and push herself, she encountered a patient who’s condition tested her in a number ways, not least in the area of self-knowledge knowing when to give up and ask for help. 2 Get on and treat him. 3 Call for help. 4 Leave the patient. October 18, 2014. 6 Persevere, continue treating. 12 Call for help. Nina s...
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