To work get used. It seems that everything that happens…

To work used. It seems that everything that happens during the day, worthy only of mention in the morning on the shift change and the house for Breakfast. Ordinary, routine, not positive. But there are that stuck in my head. Perhaps they are not worthy of a separate post, but maybe this will interest someone. So. The change was not particularly active. Of the 6 in the minds of only one, and the one with lung cancer in the terminal stage. By evening, my sister and I shared a dream, I went first. In 3 hours she wakes me up, and I’m going to listen to what interesting and new happened while I was gone. Next, the nurse Vale(not Vale) – I – Ya In – all is quiet, the journals filled, purpose you only 6 this morning, everything seems clean. Linen is not much left, so you see who to replace. Here’s the patch, latest. Here’s the tube for analysis, syringes were prepared. Look for the fourth, the pressure began to fall. The second half an hour ago began to choke him, I hormones introduced, now asleep. The syringe next to him, if not help, the doctor. I – well, thank you. Kettle on the bedside table? – Oh, I see. Only we discussed it, the second was again to choke. Exactly what I’m talking about the man with oecologia. Very nice polite man, 50 old. We approach him, seated, increasing the oxygen flowing through the mask, check the sensors. Saturation – 87% Saturation – blood oxygen saturation. In a healthy person figure 100-99%, in our patients up to 90% more bearable, if less – you need to do something. Pressure increases, heart rate also. The patient is scared, pale, shortness of breath with labored breath. Val introduces more drugs. I run in procedure for syringes and vials for next time. Next, observe the patient. The success variable. Saturation then 92, 85. Takes 5-7 minutes, no result. The patient conscious, trying to say something. The more he worries, the worse his condition. Confused says to me “well, looks like I’m .” Don’t like it when patients say that because they have nothing to answer. People with respiratory failure have a strong fear of death. We often bring patients with PE (pulmonary embolism), such patients are at a greater risk. Can die at any moment for reasons beyond our control. Also breathe and feel “death”. Can not lie, and hard to reassure. We are trying to calm the man, simultaneously collecting all the necessary for intubation. He’s already all wet, the sensors, the bandages fly off like oil from his skin sweating. Of acrocyanosis (posinenie on fingers and ears) no, but I’m going to the doctor. Experienced doctor comes in, stares at the patient 2 minutes. Feel like in his head of thoughts that do not want to intubate because there is a sense that the problem is not so serious, and the patient in mind. Command dial 20ml of Propofol (a hypnotic drug that causes medication sleep) and enter the jet 10ml. Input. The man literally falls asleep on the needle. And lo! Saturation – 98%, no shortness of breath. Val goes to sleep. After 20 minutes, the patient wakes up and immediately starts to choke. Again enter the hypnotic sleep. The doctor says to dilute 20ml of propofol 250 fizy and slowly drip. In this mode we lived. As soon as he wakes up – it dropped faster, falling asleep at normal speed. While he slept, I did my job, we have perestrelo nurse, washed the sick and sleeping, too. So it took no less than 3-4 hours. Pressure slowly returned to normal as the healing solution was to end. During this time, the appearance of the patient became more or less normal, pallor gone, the sweat is also, of respiratory failure. My thoughts on his account began to calm down, I’m glad that after such a terrible night for him, he was able to sleep well and relax. And what was my surprise when I accidentally woke him up closer to 8 am, and he tells me “everything, nothing helps, I can’t”. That is, for him, all those hours of sleep was not noticed, if they had never existed. It is the same tired and scared. He explained the situation, offered to sleep. An hour later, my shift ended, I don’t know that have to come up with a different doctor. The cause of his condition was heart failure and high pulmonary pressure, which interfere with normal breathing. Pressure decreased symptoms went away. Morality is not. Be well.


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