ok, so here i am, first night shift on the unit. scary...

so far, things have been ok. one death, expected. a triple a from daytime, full inotropic support postoperatively, went into arf* and ards*, then blew a pupil in the evening. rip. another gentleman not peeing after a complicated mi*. why is he still with us? should be on ccu*! ive just kept his urine output at around 20 all night with small boluses... ok, so his kidneys arent being perfused... thats cuz his lv* is totally knackered. yet surprisingly, he still manages to sit up and talk coherently, despite a systolic bp hovering around 80. well, at least hes still perfusing up top. very good.

have just come out of a sideroom after being called to attend to our autoimmune pneumonitis lady. 400ml of frank haemoptysis coming up her et* tube. very not good. =(

just a few more hours to go...

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* arf = acute renal failure, ards = adult respiratory distress syndrome, mi = myocardial infarction, ccu = coronary care unit, lv = left ventricle, et = endotracheal

posted by Chas at 04:18
go ahead, roll the donut!