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Day 1 – E.R.

BP: 100/58 HR: 120 O2: 78% Temp: 102.4 Resp: 9 WBC: 18.0 Bands: 14% HgB: 14 HCT: 50% PLT: 350 Glucose: 250 mg/dL BUN: 20 mg/dL Cr: 2.4 mg/dL pH: 7.30 PaCO2: 68 mmHg PaO2: 45 mmHg HCO3: 26 mEq/L Sputum and blood sample positive with S. pneumoniae   JA is a 68 yo male pt who […]

Day 1 – ICU

Patient transferred from E.D. at 1200. Pt’s diagnosis is pneumonia/sepsis and acute respiratory failure. Zosyn IV has been initiated in the ED. Pt’s VS are as follows: BP: 107/61; HR: 105; RR: 13; O2: 90%; T: 102.0. Patient is intubated with vent settings on A/C: Peep: 5; VTE: 500; I/E: 1.2; and FiO2: 1.0. The pt […]

Day 3 – ICU

BP: 92/78 HR: 98 Temp: 102 O2: 87% WBC: 19.0 Bands: 14% HgB: 13 HCT: 42% PLT: 350 Glucose: 230 mg/dL BUN: 22 mg/dL Cr: 2.4 mg/dL pH: 7.32 PaCO2: 66 mmHg PaO2: 47 mmHg HCO3: 23 mEq/L ET tube 22cm at the lip A/C ventilator setting RR: 12 Peep: 5 VTE: 500 I/E: 1:2 FiO2: 1.0 Pt remains […]

Day 5 – ICU

BP: 88/44 HR: 102 Temp: 103 O2: 90% WBC: 18.0 Bands: 16% HgB: 13 HCT: 42% PLT: 350 Glucose: 230 mg/dL BUN: 24 mg/dL Cr: 2.3 mg/dL pH: 7.24 PaCO2: 68 mmHg PaO2: 44 mmHg HCO3: 20 mEq/L ET tube 22cm at the lip A/C ventilator setting RR: 10 Peep: 5 VTE: 500 I/E: 1:2 FiO2: […]

Day 6 – E.R.

BP: 40/20 HR: 20 Temp: 102.2 O2: 50% WBC: 19.0 Bands: 16% HgB: 13 HCT: 42% PLT: 350 Glucose: 230 mg/dL BUN: 22 mg/dL Cr: 2.4 mg/dL pH: 7.15 PaCO2: 88 mmHg PaO2: 20 mmHg HCO3: 23 mEq/L Tracheostomy placed Code called A/C ventilator setting RR: 12 Peep: 5 VTE: 500 I/E: 1:2 FiO2: 1.0 Pt became […]

Day 6 – ICU

BP: 40/20 HR: 20 Temp: 102.2 O2: 50% WBC: 19.0 Bands: 16% HgB: 13 HCT: 42% PLT: 350 Glucose: 230 mg/dL BUN: 22 mg/dL Cr: 2.4 mg/dL pH: 7.15 PaCO2: 88 mmHg PaO2: 20 mmHg HCO3: 23 mEq/L Tracheostomy placed Code called A/C ventilator setting RR: 12 Peep: 5 VTE: 500 I/E: 1:2 FiO2: 1.0

Day 5- ICU

BP: 88/44 HR: 102 Temp: 103 O2: 90% WBC: 18.0 Bands: 16% HgB: 13 HCT: 42% PLT: 350 Glucose: 230 mg/dL BUN: 24 mg/dL Cr: 2.3 mg/dL pH: 7.24 PaCO2: 68 mmHg PaO2: 44 mmHg HCO3: 20 mEq/L ET tube 22cm at the lip A/C ventilator setting RR: 10 Peep: 5 VTE: 500 I/E: 1:2 FiO2: […]

Day 3 – ICU

BP: 92/78 HR: 98 Temp: 102 O2: 87% WBC: 19.0 Bands: 14% HgB: 13 HCT: 42% PLT: 350 Glucose: 230 mg/dL BUN: 22 mg/dL Cr: 2.4 mg/dL pH: 7.32 PaCO2: 66 mmHg PaO2: 47 mmHg HCO3: 23 mEq/L ET tube 22cm at the lip A/C ventilator setting RR: 12 Peep: 5 VTE: 500 I/E: 1:2 FiO2: 1.0 Ejection Fraction: […]

Day 1 – E.R.

BP: 100/58 HR: 120 O2: 78% Temp: 102.4 Resp: 9 WBC: 18.0 Bands: 14% HgB: 14 HCT: 50% PLT: 350 Glucose: 250 mg/dL BUN: 20 mg/dL Cr: 2.4 mg/dL pH: 7.30 PaCO2: 68 mmHg PaO2: 45 mmHg HCO3: 26 mEq/L Sputum and blood sample positive with S. pneumoniae

Final Reflection

    Wow! I can’t believe this semester is almost over! Actually, the last three years have truly flown faster than I had ever expected. It is true what the students from prior semesters and faculty shared with us at our first orientation regarding the cohesiveness and strong bonds we would form with one another […]