We had a medical ICU patient last night. She vomited and pooped blood on one of the floors and then stopped breathing. We had the 'code bed' so she came to us.
This woman was a big drinker and drank herself into Hep C and liver failure. In 1999 she shaped up and got a new liver. I wonder how long she waited before she hit the bottle again. So she comes to the hospital days ago after..... Dum DA DA...... vomiting blood. She did some time in the medical ICU and then to the floor.
Thats where I come in....
This lady was tubed, maxed on pressors (her bp was in the shitter) acidotic as hell and (oh yeah) her hemoglobin was 4. So I spent the night giving her LOTS and LOTS of blood and blood products, trying desperately to get her bp up and arguing with the medical ICU intern. Around midnight her pupils stopped working. She was bleeding from everywhere and probably spontaneously bled into the brain. The intern tried to convince me that the pupils were working and I "just couldn't see it."
So she is probably brain dead, the intern doesn't believe it and we are in a blood shortage and she is getting blood as fast as she bleeds it out. Grrrrrrr........
LifeNet was in the ICU for several other cases in the hospital (its Labor Day weekend, this is not a surprise). The coordinator and I are friends... I told her if they gave this chick another liver I would kick her ass!!!
I was so over the night that I didn't make it to work tonight... oh well. Hopefully the chick will be gone when I come back.