Ok they really need to come up with a better way to tell the nurses how to administer meds on the patient's medication list.
The directions "Nitroglycerin, PRN for Chest Pain, Give Up To 3" is kinda vague.
Ran a call on a patient at a NH who complained of CP, nurse told us she gave him two nitro and his BP was 112. First thing I asked, "Was that BP before or after the nitro?" It was before. So Im just thinkin "Awh sh*t, this guys gonna be unconscious & unresponsive w/ BP in the crapper" cause just a week prior another crew had run to this same NH and had that happen.
Surprisingly enough he was A&Ox4 and talkin to us. So we asked him what happened and he said he woke up from chest pain and "the nurse came in, took my blood pressure and gave me two little pills and told me to hold them both under my tongue."
I looked up at my partner and he's lookin back at me with this look of 'Did he just say what I think he said?' on his face. Just to verify I asked the nurse how many doses of nitro he had. "I gave him one dose of two pills, I figured three would be too many."
His BP was in the forties when we checked it. How he was still awake and conversing like normal I dont know.
This is also the same nursing home where the diabetic fell out of bed, they checked his sugar and it was 19. We arrived to find him seizing in the bed covered in vomit while they gave him orange juice and oral glucose by mouth.
The directions "Nitroglycerin, PRN for Chest Pain, Give Up To 3" is kinda vague.
Ran a call on a patient at a NH who complained of CP, nurse told us she gave him two nitro and his BP was 112. First thing I asked, "Was that BP before or after the nitro?" It was before. So Im just thinkin "Awh sh*t, this guys gonna be unconscious & unresponsive w/ BP in the crapper" cause just a week prior another crew had run to this same NH and had that happen.
Surprisingly enough he was A&Ox4 and talkin to us. So we asked him what happened and he said he woke up from chest pain and "the nurse came in, took my blood pressure and gave me two little pills and told me to hold them both under my tongue."
I looked up at my partner and he's lookin back at me with this look of 'Did he just say what I think he said?' on his face. Just to verify I asked the nurse how many doses of nitro he had. "I gave him one dose of two pills, I figured three would be too many."
His BP was in the forties when we checked it. How he was still awake and conversing like normal I dont know.
This is also the same nursing home where the diabetic fell out of bed, they checked his sugar and it was 19. We arrived to find him seizing in the bed covered in vomit while they gave him orange juice and oral glucose by mouth.
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