#manarnia

[pimf-the-lunar-witch]

My version of Kris Deltarune Polygon the fox @polygonthefoxlovessans My Sans Fangirl O.C My Sans fan child O.C Harpen Manarnia (Harpen's mom and a Sans Fangirl O.C)

[thedoublethinktank]

hanging out with manar is so refreshing; its good to be around someone you've been friends with for 14 years.

[toomucherin]

manarnia replied to your post:listen- if you ever have a loved one in the...

What does coding mean?

coding is when a patient loses their pulse and/or blood pressure and/or stops breathing (usually one of the three triggers a code, but without one, the other 2 will stop- unless the patient is already artificially breathing from the ventilator).

So "actively coding" someone means that we are running a code- we have lost their pulse, and we are doing chest compressions and pushing "code meds" like epinephrine, which is basically adrenaline, to try and get the heart and blood pressure up again, and possibly shocking the patient's heart if they are in a "shockable" rhythm.

To be able to run a code, there is training called ACLS- advanced cardiac life support- which is basically CPR on steroids. It's where you learn how often to do rhythm checks, how often you can shock and when, how often and when to push different code drugs. Most ICU nurses are ACLS certified, and most ICU nurses run codes throughout the hospital, along with whatever doc shows up.

A code can last anywhere from 2 minutes to 30+ minutes. Today I coded my patient three times. One code lasted 5 minutes, and the last one lasted over 30, which is the one that happened during report, where eventual I left it to night shift to keep coding and went to /finally/ chart something, anything on the patient I had had for six hours and hadn't touched any charting. Which is, unfortunate to say the least, and meant I was at work for an extra hour and a half trying to get everything documented from my day. 

When you code, your heart stops, and you have technically died. So to code 6 times in one day (which my patient did) means that you have technically died 6 times. And we continually consult with family about the prognosis and pt status (my patient was not responding to pain at all, had a very poor prognosis given the number of codes, and continued hemodymanmic (blood pressure and HR) unstability, combined with the lowest possible neurological exam which shows that the patient likely had injury to the brain due to the lack of oxygen during the code and before the pt arrived to the hospital (came in because they weren't breathing well for several days at home). The family insisted that we continue to do everything for the patient despite the poor prognosis, which meant that every time their heart stopped, we would do chest compressions and push more drugs (drugs they were already getting continuously). And we would keep getting their blood pressure back- temporarily- but it was jut minor patches, but the underlying problems remained and we were unable to make any major changes, or even do much diagnostic testing because the patient was so unstable that we could barely move them without loosing a blood pressure and pulse again.

Basically, I had a long ass day taking care of someone who was practically dead when I got them, and remained practically dead until I left. And that sucks, and makes everything seem futile and worthless and takes a lot out of you, because you and exerting so much energy with little positive result. 

Not every day is like that though...

BUT suffice it to say- again, if you have a loved one who lose's their pulse multiple times in one day, it's very likely that loved one is trying to leave this earth, and we keep jerking them back for another couple of hours- while also breaking every rib in their body, making them bleed out of their mouth and nose from the force of compressions, and pumping their body with so much adrenaline that it keeps on going and going and going even though it's will to live left a long time ago. 

[horowtz]

manarnia said: It’s frustrating because the cast is soooooooo gooood and I love them so much, but everything else is terrible ugh.

ugh i know and it makes me so MAD and FRUSTRATED

emma is a book i hold the closest to my heart. i've reread it countless times, watching every adaptation. i'm starting to feel like some of the characters COUGHEMMACOUGH is a caricature of they were in the book.