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Originally Posted by doctorbonez
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how are his pupils? symmetric? pin point? if he is breathing, has a heart rate and is nonresponsive, sating OK, i would do a finger stick and glance at his pupils and see if they are reactive.. as well as try to elicit any type of stimuli/reflexes? any chance of a CVA? maybe the PCA pump is set incorrectly or he is schlogged from too large of a dose of pain meds or sedatives?
Well he definitely has risk factors for a stroke, surgical patient, cancer patient, obese, advanced age. The MD has looked in his eyes but hasn't remarked about what he saw. Code leader asks how much pain medicine he's had (this actually was asked right away). He hasn't had any since the morning.
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also, what is the relationship between the wife and the husband? why is she not more freaked out?
The wife hasn't left the room, she's watching from the back. It turns out she's handling things non-hysterically because she's a nurse. She's very concerned.
The code leader asks her what they were doing before this happened.
Wife: We were just talking and then I guess we dozed off. It was only a few minutes before this happened.
I guess that tells us at least whatever is going on hasn't been happening for hours.
Meanwhile, it looks like the intubation has been postponed after some difficulty. They're back to bag and mask.
Lab's here. Anything we want?