...on whether or not my nursing spidey senses have once again prevailed.
the patient: middle aged, just "fell" on a drill bit square in his neck. odd for sure, but now odd and hypertensive and tachycardic and tremoring up a storm.
my thoughts? when you likey 4-6 tall boys every day (and i'm sure that this is a conservative estimate), you DT fast and you DT hard.
the chief resident? gave me my 2 mg IV ativan q 6, but says "he looks fine".
don't borrow trouble? maybe. but in my opinion, this will be an issue. a sweaty, seizure-y, run him up to the ICU issue if we're not pretty proactive.
so i'll keep you posted.
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so i can't be sure, but i think that the fact that the ativan was up to q2 by this morning means that maybe the nurses were on to something...but, no worries!! we will never know for sure as the team has made sure to ship the patient over to psych before he can hardcore DT so they don't have to deal with it. another crisis of patient care narrowly averted.
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