20/03/2025
My job as a nurse is I believe a calling it wasn't my choice but I think I was led to this path to follow the footsteps of Florence Nightingale.My shift last night with a patient who was very unwell shown me that.I also think that through my years of experience being a nurse I know that the patient is not right at first glance again not to brag.I look after this patient for the last 2 night shifts and last night he told me he couldn't breathe.Assessing and looking at him he was pale,cold clammy and saturations was low on air.Immediately I had informed the doctor(Registrar) that he was unwell.The doctor reviewed him and said he couldn't feel his pulse and is his BP right?Bloods we're taken specifically the blood gas which determines how unwell the patient is.The blood gas came back and shown PH-7.2 which means he is critically unwell.Started IV fluids,put him on oxygen and started IV pantoprazole for potential of ?GI bleeding since he opened his bowels with black stools.Low urine output started on dobutamine infusion.His potassium was also high which was 6.3 meaning he was hyperkalemic.Treated that with Insulin infusion to lower it down so that he wouldn't go into arrthymias.All through the shift kept a close eye on him.I had to inform his family(wife)that he wasn't doing too good.His wife stayed with him during the night.Finishing my shift this morning his blood gas went down lactate-3.1 which means he is improving.I was glad that he was getting better and hasn't gone into cardiac arrest.I just realised that my job as nurse the main goal is to save lives and I have just save another one.I was quite exhausted during that shift with only 2-3 hours of sleep the night before but as a nurse you are selfless and forget your own worries to do your job to the best of your abilities and give the excellent care to your patients ❤️