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- Mar 30, 2006
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Just remembered today some of my less than stellar moments on the wards. Figured I would share one:
Two month ago I was on my first week of IM and on call at the local VA. At 1 Am we admitted an 82 yo man who had a long history of dementia. He was found on the bathroom floor by his caretaker and brought in to the ER. We diagnosed an UTI and started antibiotics and some fluids. He was really agitated, telling WW2 stories and warning me not to touch his pecker because despite what happened in the Navy he was definitely not gay
I ordered Haldol for agitation and went to bed.
The next morning I saw him on rounds and he was sound asleep and snoring, and after a lot of shaking and yelling he managed to answer a few questions. His labs and vitals looked good so I let him go back to sleep. That afternoon I got an irate page from my senior asking me to come to his room. The attending was there looking half infuriated and half amused. Turns out that in my great widsdom I had ordered the haldol but forgot the PRN agitation part . The patient was still snoring really really loudly (had an awesome musical quality to it) and was completely unaraousable for the next two days.
Two month ago I was on my first week of IM and on call at the local VA. At 1 Am we admitted an 82 yo man who had a long history of dementia. He was found on the bathroom floor by his caretaker and brought in to the ER. We diagnosed an UTI and started antibiotics and some fluids. He was really agitated, telling WW2 stories and warning me not to touch his pecker because despite what happened in the Navy he was definitely not gay
I ordered Haldol for agitation and went to bed.
The next morning I saw him on rounds and he was sound asleep and snoring, and after a lot of shaking and yelling he managed to answer a few questions. His labs and vitals looked good so I let him go back to sleep. That afternoon I got an irate page from my senior asking me to come to his room. The attending was there looking half infuriated and half amused. Turns out that in my great widsdom I had ordered the haldol but forgot the PRN agitation part . The patient was still snoring really really loudly (had an awesome musical quality to it) and was completely unaraousable for the next two days.