Day 4 : 19th
May 2016
My colleague
(Fatin) and I listened and involved in the passing report. So we only
had one patient which was admitted in the afternoon of 18th
May 2016.
This patient has
Supra Ventricular Tachycardia (SVT). The SVT is an abnormally fast
heart rate of more than 60 beats per minute. This patient has around
115 beats per minute.
So during the
doctors' round, the patient has questions and answers session with
the doctors. The doctors explained to him what should be done to
reduce the heart rate per minute. The doctor gave opinion of first,
taking medicine and see the outcomes and if the medicine do not show
any positive outcomes, operation would be the ones.
Then the patient
asked where should the surgery be done. So the doctor said most
patients were going to Jerudong Park Medical Centre (JPMC) or to
Singapore. The doctor informed the patient that it would cost around
BND 40K per surgery. It really shocking tho, the price. Huhu...
Around noon, one
patient admitted in the ICU because of Diabetic Ketoacidosis. So we
monitored everything, and yes the glucose level is very high as the
result stated 'Hi' in the glucose meter. Then we checked alongside
the protocol monitored of Diabetic Ketoacidosis such as the ketones
level, potassium and so on. So the first hour, the patient are
administered with 1000 ml or 1 litre of Normal Saline (500 ml of both
sides of the arm). Then reduced to 500 ml on the left side (either
arms could be done). The right arm were inserted with cannula on the
brachial artery. It is to ease when taking blood for any monitoring.
Oh yes, before I
forgotten, the Sister taught us about basic reading of the
Electrocardiogram (ECG) rhythm. In ECG, there are 12 leads and it
divided into two types ; chest leads and limb leads. Chest leads
consist of V1 to V6. While Limb leads consist of RA, RL, LA, LL. The
AVR, AVL, AVF consists in the limb leads.
The highest
electrical current of the leads is Lead 2. as it crosses the heart.
AVR always reading upside down (downwards) because it has negative
access or downwards deflection. It always shows negative as the
electrical current travels parallel to the heart from right to left,
while AVR from left to right. It travels away from the heart.
Oh yeah, about the
patient the other day (in my previous post) that has bradycardia has
passed away at 7.45 pm on 18th May 2016. We are very sorry
for the patient for their loss. It was a great experience for us to
involve in reviving even though it only lasted for few hours.
Okay, that's all
for today. Sorry for the late post. I should have posted this last
night.
Love,
D.
Comments
Post a Comment