Shay & I are both on Amoxicillin...lol. She's on it to prevent any infection after getting spayed. I took her in yesterday & she seems to have done well. She was a bit groggy last night, but today she is back to her normal self. She doesn't even seem to be in any pain today - amazing!
I'm on the antibiotic because of the toothache that began last week. I saw my dentist on Thursday & he started a root canal...fun fun. $705 later, I have to go back in October so he can finish it. He's a very busy dentist, but I've been going there for 17 yrs & he is very personable. So I'm not switching dentists until I absolutely have to. Besides, I need some time to save up to pay that $705...ugh. At least the pain is gone.
I worked Sun, Mon & Tues nights. The one patient that stood out for me is one that came in with a migraine headache, was admitted with chest pain (who knows why - she never had chest pain) and ended up having surgery to remove her gallbladder. It's usually a relatively simply surgery. I had it done back in 1996 & recovered fine. Then again, I didn't have the surgeon she had. He's pretty new & isn't very good yet. It was also discovered that she had blood clots - one in her upper arm, one in her chest and one in her leg. No one knew why she was clotting like that - so they started her on Heparin to thin her blood & prevent anymore clots. Anyways, she had the surgery on Saturday, I was her nurse Sunday night. I had been told she was anxious & there was Xanax ordered for her. I gave her some with her nighttime meds. Around 11:30, the tech went in to take her blood pressure & noticed blood on her gown. I immediately lifted her gown to see where she was bleeding & it was a tiny but steady trickle from one of her incisions. He had put a durabond type adhesive rather than stitches & I don't know if she scratched it or what...but it was bleeding & it wasn't stopping even with pressure. I decided to put some 2x2's over it & tape - hoping the pressure would stop the bleeding. It didn't. So I replaced that dressing, put more 2x2's & covered it with surgical tape. You could still see that it was bleeding. At the same time, the patient was freaking out & yelling "I'm bleeding!!!!!! Oh my god!!!!!" I tried to get her to look at where she was bleeding from because it was just a tiny little spot, but she wouldn't look. Then she got even more hysterical & was asking what if she was bleeding internally. Her blood pressure was fine & I tried to reassure her that she was ok.
I eventually called the surgeon, who of course wasn't on call. I got one of his partners who told me to apply a pressure dressing and continue the Heparin. It was exactly what I had been doing, but I needed to make sure one of the doctors on her case was aware of the situation. I ended up taking an abd pad instead of 2x2's...it can absorb more - thus last longer as a dressing & taped it down with surgical tape. Later when the surgeon came in & took the tape off - she had stopped bleeding. Yay!
However, now she had other problems. She wasn't urinating. The dayshift helped assist her to the bedside commode & I guess when she stood up, she began vomiting. Then she became diaphretic and very unstable. They ended up moving her to ICU where they discovered she was bleeding internally! Aaaccckkk & here I was reassuring her she was fine the day before. It was just a small internal bleed...I guess the surgeon nicked something & with the Heparin going - it stopped the area from clotting off. I don't know why she was having trouble urinating though. The Heparin was discontinued in order to stop the internal bleeding. I don't know what they are going to do with the blood clotting problem. She was also receiving blood transfusions as her H&H kept dropping. The poor lady - recovery is not supposed to be this difficult.
It's scary seeing some of these surgical patients that come in for something that is supposed to be simple & routine and they end up in ICU. I hope she is ok.
I only work 2 days this week and I have CPR class on Wednesday night. I'm so tired today & not really sure why. Maybe I'm just a night owl - cause I always seem to be tired during the morning hours.
Have a good weekend everyone!