I’m a scientist. I spent a year or longer learning how to read those monitors. This line is blood pressure, these two are heart rhythms and rates, this one is the oxygen level. 95% is excellent for your ‘mom’. (Mom smoked up until day of surgery, so I’m going to turn down the nc to 2 lpm from 4… I want to increase her drive to breath, not lessen it by providing oxygen). Your mom is 3 days post op. I’m going to get her out of bed and to the chair. Oh that — thats her chest tubes. (me, gettting down on the floor, on hands and knees), quick count 10 ml one chamber, 25 ml other chamber, no bubbling, even movement with volume tidaling. “Take a deep breath in… and out… hold onto to heart pillow tight to your chest, now give me a big cough”… no, clear that junk in your chest. Lets try again….. “big cough”….”Awesome, you did it”. Help pt. to chair. Ask about how she slept, how is her pain. Attach bp cuff, sp02 monitor, look at hr & rhythm, clear table, listening to patient. Ok, your pain is now at 4, but when I woke you, how was your pain then? From 3 to 4 with C & DB, exercise out of bed, and more to come, possible DC of CT’s. I see you took 2 percocets at 0400, and now it’s 745. I will go gather your morning meds, grab your breakfast tray, and be back in about 20 minutes. Patient 1 of 4 for the day. Lets get rolling.
Cardiovascular Surgical ICU/CVSD FL November 12, 2015