Thursday, May 29, 2008

One for the record books

I just worked 6p-6a three nights in a row and I am dragging ass. About an hour before shift change a few nights ago we had a nurse on Postpartum call us and ask us to come help her out. She was taking care of a 38 weeker with pneumonia who's O2 sats were getting progressively worse through the night. She was trying to get fetal heart tones and having trouble. I go out there and RT is there ready to set her up on BiPap, I get heart tones in the 80's with maternal in the 140's, call back to my girls, tell them to get a room ready and call the doc on call and start unplugging crap. We get her back to the birthing center and RT is setting her up on the BiPap and her sats were running 78-80. When the BiPap got tweaked her sats went up to low 90s and baby recovered nicely. When the pulmonologist got there he decided she needed to be on a vent in ICU so we did rapid sequence intubation and moved her upstairs. We had two L&D nurses, an OB doc, the pulmonologist, three RT's, two PP nurses, an ER nurse, the ICU charge nurse and the house supervisor helping out. Once we got upstairs and set up the fetal monitor baby was having some lates and then resolved, she was determined to have pulmonary edema, cardiomyopathy with an ejection fraction less than 50%, and pneumonia. They decided to induce the baby with pitocin so they could treat her problems without the worry of influence on baby. We delivered a baby vaginally in ICU with mom on a vent, how freaking crazy is that?

4 comments:

pinky said...

Pretty crazy.

A. said...

Whoa Nellie

AtYourCervix said...

Oh wow. That's all I can say. Was she awake/alert/oriented through the induction/delivery? I imagine it must have been frightening for her!

The Triage Queen said...

I would not want to be there. yuck

Did it turn out OK?

 
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