well, here we are again... 7 weeks have passed and im back on nights once more.

pretty good night actually. only 13 beds open tonight, all full. noone really sick, but there are two myectomy patients for hocm*, one just a little dodgy out of theatre. his co* was around 3.4 and ci* around 1.8. gave him a bit of inotropic support and he seems to be ok now, peeing ok. another elderly lady with a flail segment after a fall suddenly desaturated overnight, needing a chest tube. 3000ml out stat, serous, not blood. probably due to her cald* instead. nothing much else to report otherwise.

had plenty of time to catch up on news items through the night:

- american homeland security secretary ridge has stepped the country down from alert level orange to yellow. hmm...
- greg rusedski has tested positive for nandrolone. hmm...
- we can now get cancer from eating farmed scottish salmon (toxins and shit in the feed). woohoo...
- saddam has been given official prisoner of war status. well i never...
- first pics of lady louise windsor (taken by her uncle prince andrew!) released by the palace... she was on our nicu*!
- unofficial us delegation visits the nuclear complex at yongbyon, north korea. hmm...
- herges adventures of tintin (first appeared in 1929) are 75 years old! well worth checking out for those that havent before. did most of them myself when i was a kid.

food of the night:

cheese & cauliflower cornish pasty

right, better go take this vancomycin level. surely intensive care nurses here ought to be certified to venesect? *sigh*

oh, my fellow comrade on the unit tony wants the world to know that hes back from his new years holiday. he was in paris for nye. wtf?

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* hocm = hypertrophic obstructive cardiomyopathy, co = cardiac output, ci = cardiac index, cald = chronic alcoholic liver disease, nicu = neonatal intensive care unit

posted by Chas at 07:32
go ahead, roll the donut!