Reply To: working the night shift

he was admitted on a tues night. saturday/sunday he was active-gardening, biking. monday he didnt feel well-mom gave him tylenol and sent him to school. tuesday she kept him home. admitted tues night. had R thigh pain from admission on. no swelling, edema, redness but had decreased ROM; thigh circ was equal bilat. refused to put weight on the extremity and changed positions infrequently.

the doctors have no clue what caused to clot or who a kid that young can get them. he was placed on lovenox which did not help. changed to heparin drip @ 20units/kilo then increased to 22/kilo. the doctors are unsure which came first-the abscess or the clot. i think the PN/PE developed in the hospital b/c it took a few days to dx the clot.

for the MRSA, vanco (500 mg Q6), genta and rifampin

“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.”

i didnt say i’m not interested. i can talk medicine for hours sometimes. i said i dont want to list off the medications to prove myself to you. sorry, i didnt meant to come across short. i only got 4 hrs of sleep between shifts and the lack of sleep makes it hard for me to post eloquently. i can tell you what i know abt the pt. hes very memorable. def one of the hardest pts i ever had, if not the second worst (worst pt ever was the violent drug seeker).

Are you sure you aren’t violating either HIPPA or the hospital policy?