Sleep is for the Weak

I made it through my first night shift! Thank goodness for coffee and small snacks to keep me awake. And also, I really prefer it when it’s busy. Last night I was in the Emergency department. The cases I saw were mostly clinic cases, you’re average cold/cough/pain/flu. I passed the time by reading about different code blue medications. I also looked through the medication cart and found some interesting drugs. For instance, did you know there is an antidote for antifreeze poisoning? Not really sure what knowledge I was able to absorb at 4 am, but I’ll have many weeks to figure things out.

I like how my preceptor quizzes me on things. Here’s my homework assignment for my next shift: EMS is en route with a pt complaining of chest pain. They will be here in 5 minutes, what are you going to prepare? Go!

Is the patient stable? Get oxygen, vital signs machine, IV start equipment, EKG machine. Grab nitrogen, morphine, and ASA.

Anything else anyone can think of?

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Comments
2 Responses to “Sleep is for the Weak”
  1. Jess says:

    Epi in case they arrest? Defibrillator?

  2. Ashley says:

    All the ones you listed were great. They might also consider a beta blocker depending on the underlying rhythm. Possibly Plavix- 300mg loading dose then 75mg daily and a blood thinner such as fondaparinux or heparin to prevent a clot from obstructing any of the major arteries to the heart. They usually use the anagram B-MONA (Beta blocker, morphine, oxygen, nitrogen and aspirin- usually 160mg chewable then 81mg daily) as the immediate actions for chest pain/heart attack.
    Just some suggestions that I can think of.
    Hope your having fun!

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