SMButton91
Forum Probie
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Hello, I was transporting a patient the other day, and was reading her paperwork. Anyways tell me what you think.
Patient is a retired 65 y/o female that has a history of;
A fib
CHF
Severe Depression
hypertension
severe obesity
Sleep apnea
Seizures
Anxiety
GERD
She decides that her life isn't worth living anymore so she quits taking all of her meds and doesn't go to dialysis treatments.
Meds:
Buspar
Clonazapam
Digoxin
Diltiazam
Pantopazole
Venlafaxine
Tylenol PRN
Anyways about 4-5 days later she develops a kidney stone(not sure what kind, anybody guess?) With that she develops hydronephrosis. Luckily her daughter stops over to visit and notices her with extreme pain to the left flank. She calls 911 and EMS brings her to the hospital.
Ems notices her lungs sound like a swamp and start cpap, and a nitro drip. spo2 around 70-80's. On the arrival to the ER she codes with PEA. She's intubated, and luckily they got a pulse back and gets her up to the ICU.
So she's put back on dialysis, all of her meds, neb treatments if needed, and Bipap. And fast forward to now, 5 months later, and i'm taking her back to a care facility... i'd be depressed too :glare:
Anyways I think its safe to say that, stopping her meds, and dialysis, the kidney stone causing hydronephrosis( which then making it even harder for the body to get rid of fluid, and causing further renal failure), the overload on the heart, and fluid in lungs causing hypoxia.... caused her to code.
Anything to add? suggest? I'll pry be writing a case study over this. So i'm interested what the experienced medics have to add. ^_^
Patient is a retired 65 y/o female that has a history of;
A fib
CHF
Severe Depression
hypertension
severe obesity
Sleep apnea
Seizures
Anxiety
GERD
She decides that her life isn't worth living anymore so she quits taking all of her meds and doesn't go to dialysis treatments.
Meds:
Buspar
Clonazapam
Digoxin
Diltiazam
Pantopazole
Venlafaxine
Tylenol PRN
Anyways about 4-5 days later she develops a kidney stone(not sure what kind, anybody guess?) With that she develops hydronephrosis. Luckily her daughter stops over to visit and notices her with extreme pain to the left flank. She calls 911 and EMS brings her to the hospital.
Ems notices her lungs sound like a swamp and start cpap, and a nitro drip. spo2 around 70-80's. On the arrival to the ER she codes with PEA. She's intubated, and luckily they got a pulse back and gets her up to the ICU.
So she's put back on dialysis, all of her meds, neb treatments if needed, and Bipap. And fast forward to now, 5 months later, and i'm taking her back to a care facility... i'd be depressed too :glare:
Anyways I think its safe to say that, stopping her meds, and dialysis, the kidney stone causing hydronephrosis( which then making it even harder for the body to get rid of fluid, and causing further renal failure), the overload on the heart, and fluid in lungs causing hypoxia.... caused her to code.
Anything to add? suggest? I'll pry be writing a case study over this. So i'm interested what the experienced medics have to add. ^_^
