| | First oncall life (3/7 6pm to 4/7 8am)
18:05 9A E case: pleural effusion
18:30 9A E case: CAPD peritonitis (fail to see patient on time)
18:45 dinner time
18:55 9D E case: a very classical CVA
19:40 11C E case: CAP
19:50 9D E case: COPD exacerbation, not seen by me
20:30 11C HBs setting
21:00 11C Lab result screening: Hb <8, inform MO, scolded by MO for not doing proper P/E first
21:30 11C all P/E done, MO decided to transfuse with lasix cover (patient in CHF), start combo of consent, HB and T&S
22:15 9A Informed chills and rigors in a patient receving blood transfusion, temperature simialar as before, stop blood transfusion temporarily, add piriton 10mg and hydrocortisone 100mg cover. Retry transfusion 15min later
22:30 9A Informed increase pulse > 120, pulse go back to 80 when I see him, keep observe
22:40 9D Blood taking for CVA patient admitted before
23:15 9D Blood taking + ECG for COPD patient(1st ABG done: takes a very very long time)
23:45 11C Blood taking for CAP patient (2nd ABG done)
00:30 11C Finally have time to do the T&S for the anemic patient
00:45 9D Informed desat of COPD patient, increase dose of O2 as suggested by nurse
01:15 9D Lab result screening: ABG for COPD patient showed mild respiratory acidosis, mild CO2 retension. MO informed, suggest try tailor down the oxygen
02:00 4E Informed oncology patient receiving blood transfusion low grade fever <38C, stop transfusion temporarily, recheck temperature 30min later, continue transfusion if not fever
02:15 11C different kinds of minor homework
02:45 9A Informed decrease no PU for one day, decide to insert foley (not by me of coz)
03:00 9A Informed increase BP > 190/100, Adalat Retard 20mg stat prescribed by me
03:15 9A earned a soy bean milk for ‘super’, provided by a ‘sir’ in 9A
03:20 sleeping time
03:25 9D informed decrease GC for COPD patient, decrease oxygen to retain hypoxic drive for patient
04:00 9D Lab result screening: ABG showed type II respiratory acidosis for that COPD patient, nurse suggest calling MO. MO suggest CXR, ECG, ABG (3rd ABG done)
04:20 9D Lab result screening: Hb 11 to 7, P/E exam done this time: unremarkable, T&S time again, another MO called, tell me to do a full workup for Fe profile next time
05:00 9D different kinds of minor homework
05:15 4E Informed drip loosening for 2 patient, both are extremely difficult cases, take almost half an hour for one case, failed both case, MO called, suggest no need to set
06:00 11C post transfusion blood taken
06:15 4E some minor homework, informed itchiness and rash around drip site, patient seen, no itchiness and rash now, keep observe
06:30 9D informed desat, ABG taken suggested by nurse, (4th ABG taken)
07:15 breakfast time in canteen
07:35 11C E case: suspected swine flu
08:30 finish all the call stuff, another day starts (gets calls from 8C for anchoring CVP and 4A for HB and T&S for a renal patient immediately, and piles of homework in 9AB awaiting) |
| | Posted 7/5/2009 5:18 PM - 26 Views - 4 eProps - 2 comments
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