My patient with the low potassium had a seizure yesterday right at the end of my shift, and a code was called. It was my first code to experience, and it was scary. I ran to the room because I knew they would need me there, as her nurse. The alarm was blaring. People were everywhere. I was being asked all kinds of questions. Someone yelled to me, “She needs Ativan now!” Her sister was crying and yelling. Thankfully the patient never stopped breathing, and she slowly recovered. She hasn’t been the same since. She is either sleeping or confused and agitated now. But while all the commotion was going on, I realized that I cared for this woman and…
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I wasn’t going to bore you with stories from work again, but again something happened. Yesterday I was taking care of the same patient that I have had for at least a week now. And every day, her potassium is low. Every day the doctor makes rounds in the morning, sees that it is low, and orders us to replace the potassium through her IV. Yesterday her potassium was 1.5 (normal is 3.5 to 5.0), which is a critical level because abnormal potassium can cause life-threatening heart rhythm problems. Nurses worry when it drops below 3.   The day before, her potassium had been 1.8. I was with my preceptor that day, and she informed me that although it was…
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I had a wonderful weekend, slept great, and was refreshed all day Sunday. I was ready to start the week. Well, last night I could not fall asleep for hours. My parents keep the house way too hot to be sleeping upstairs, and yet for some reason I didn’t think to go down and lower the thermostat. Therefore I tossed and turned, kicked covers and twisted sheets. Cleo was restless too; someone somewhere was setting off remnants of Independence Day firecrackers, and that got her trembling and needy for my attention. I think that today wouldn’t have seemed so bad if I weren’t so tired the whole time. But I was and it did. It was the first day at…
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