Reply To: working the night shift

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Yenta -“nope. it was 1 pt. he was admitted for R hip pain last week (had him my first day). over the week his fever got worse, blood culture came back MRSA +, he developed SOB…final diagnosis is DVT in the right femoral and common iliac veins IIRC, R hip abscess, L lung PN and possible PE; docs also considered him septic secondary to MRSA. oh and he has ADHD and bipolar-depression.”

I’m just curious how did a young pt. come down with a DVT? Is the pt ambulatory? If the pt developed the DVT after being in the hospital awhile it could be negligence was the cause. What is/was the cause of the abscess?

What drug are they giving for the MRSA?

“NO. i dont want to. plain and simple as that. i will tell you standard nursing interventions r/t seizure precautions if you want but i will not list dosages and routes. i listed some of the meds above. first med is diazepam. other meds used are lorazepam, phenytoin. for refractory, phenobarb or other barbiturates. optimal route is IV and dosage is mg(mcg)/kg”

That’s your prerogative. There are a lot AED’s out there.

For your reference, when you get a job in the future, you should know the drug(s) given rectally and/or IM, when you don’t have an IV yet.

The questions above about the pt – are because of my curoisity/knowledge, not to teach or test you. I won’t try to help you learn anymore since you’re not interested.