Occupied pm shift
Took over 7 patients from the busy morning staff. We were pretty occupied in the afternoon as well.
We started with sponging and settling all the patients. All patients are either big size or uncooperative. While I was sponging one of the very cheeky patient, I felt insulted by his words and behaviour and I told him off. However he was still behaving the same way, he climbed out of bed intentionally and pulled out drips and leads, we were so irritated by his behaviour! Janice and myself scolded him yet he was still laughing and continued to be cheeky! At the end of the day, he was scheduled for urgent bypass! At least we dont have to see him in our ICU again!
My 2 CVVH patients one is so edematous with huge big fat legs, its so difficult to turn and change her. Her suger level was extremely low, subsequently followed by potassium super low then BP super high...... SIGH.... The other CVVH patient is very drowsy, have to do EEG, then turned hypothermia, potassium low then later CVVH clotted..... AGHHhhhh
Later in the evening at about 4plus was a swan ganz insertion. We were lucky that the readings were normal hence swan was off and patient was sent back to the ward. Phew...
Late evening, one of the patient was supposed to come in "for monitoring" lastly was cancelled. I dont see the need to come into the ICU just for monitoring lor... We left with 4 patients at the end of the shift.
Dont even have the mood to take my dinner, just ate "siew mai"... I am feeling tired now rather than hungry...........
We started with sponging and settling all the patients. All patients are either big size or uncooperative. While I was sponging one of the very cheeky patient, I felt insulted by his words and behaviour and I told him off. However he was still behaving the same way, he climbed out of bed intentionally and pulled out drips and leads, we were so irritated by his behaviour! Janice and myself scolded him yet he was still laughing and continued to be cheeky! At the end of the day, he was scheduled for urgent bypass! At least we dont have to see him in our ICU again!
My 2 CVVH patients one is so edematous with huge big fat legs, its so difficult to turn and change her. Her suger level was extremely low, subsequently followed by potassium super low then BP super high...... SIGH.... The other CVVH patient is very drowsy, have to do EEG, then turned hypothermia, potassium low then later CVVH clotted..... AGHHhhhh
Later in the evening at about 4plus was a swan ganz insertion. We were lucky that the readings were normal hence swan was off and patient was sent back to the ward. Phew...
Late evening, one of the patient was supposed to come in "for monitoring" lastly was cancelled. I dont see the need to come into the ICU just for monitoring lor... We left with 4 patients at the end of the shift.
Dont even have the mood to take my dinner, just ate "siew mai"... I am feeling tired now rather than hungry...........
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