On my way home, I had this thinking about loosing our patient who has been confined for more than two years. She has been in and out of the intensive care unit since then. She has just turned 95 on March 10th.
This morning I woke so early and punched in at 6:10 am. I came in early to get the bedside-to-bedside endorsement done before the grand endorsement. While on my way, the caregiver of our resident patient texted me to bring her some cheese, to which I replied that there was none left. It was 5:30 am.
As I reached the ward, I was informed that the said patient was hooked to mechanical ventilator late last night de to difficulty breathing and for some reason it suddenly stopped working so the charge nurse was doing the ambubagging. I hurriedly entered her room and she’s becoming cyanotic (bluish discoloration) showing signs of respiratory distress. The pulse oximeter does not register pulse rate nor oxygen level in her body. No blood pressure can be acquired even on palpatory way. I and the bedside nurse tried but to no avail.
The charge nurse asked me to page the cardio and pulmonary fellows. The bedside nurse did it. But as we waited for the fellows to arrive, her condition got worse, the charge nurse asked me to call the code. I dialled 7 and in a heartbeat the PA summoned the code blue team to our ward. I wheeled in the crash cart into the room. The team was there in less than a minute.
They hooked her to cardiac monitor and four doctors tried to start peripheral line. One has started cardiac compression and was shouting to push to epinephrines. It started at 6:31 am and ended at 6:37 am. After the fourth epi has been pushed, she showed sign of revival.
We felt relief. She’s prepped to be wheeled in to the medical ICU again.
out of silence, the tension was pulsating. We love our abolita (as I fondly call her).
At past 2:00 pm I texted the caregiver asking for the patient’s condition and they said that she is stable. A few minutes after that, the PA summoned code blue team to medical ICU. We became worried. I called the medical ICU and as if a large rock was removed from my chest, it was not our beloved patient.
I learned from the medical ICU nd the caregiver that she will be wheeled in to her favorite room in our ward once she has tolerated the weaning process from the mechanical ventilator.