Jim Wright
speaker
217 appearances
1 recordings
1 series
first heard Apr 2020
last heard Apr 2020
Jim Wright’s voice in public audio — every appearance, attributed to the second.
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Appearances
No IV steroids.
So those are what we've used a fair amount.
And then, of course, supplemental oxygen for symptomatic hypoxia.
We've used that as well.
We've had to use some high flow oxygen with non-rebreathers to get people just up into the 80s sometimes to provide comfort, even though I'm sure that's aerosolizing virus as well.
So those have been our big things, you know, and then some other stuff, you know, that have been, you know, just Mucinex and Robitussin and stuff like that to help people clear of mucus.
And then, you know, unfortunately at this point, I have, you know, my usual day starts with signing hard scripts for morphine and lorazepam for comfort meds.
And that's been a particular...
important lesson that we've learned is prescribe those comfort meds early.
Have them in the cart for the patients to use because you can have that acute respiratory failure
that you don't want the patient waiting for an hour while the nurse faxes the heart script to the pharmacy or even waits to get it out of the stat box.
So you try to have plenty of morphine and lorazepam available on the unit.
We've increased the amount in our stat box as much as we can, which is not very much.
In Virginia, I think you can only have three bottles of liquid controlled substances in your stat box.
So maybe two bottles of morphine and a bottle of lorazepam.
But we have a Pyxis, which is like a vending machine for medications.
And we've really stocked it with morphine and Ativan.
We've used some fentanyl patches for people that just have chronic ear hunger.
as well um so and then you know looking again keeping well you know you always want to keep your diet differential list as long as possible uh so we try not to maintain tunnel vision for respiratory symptoms and fever uh we've you know tried to make sure that we're
Monitoring for secondary pneumonia, which can be really tough if someone's developing a viral pneumonia, and treating accordingly.
Showing 141–160 of 217 · page 8 of 11
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