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Started By
Message
re: Question for Dr's of the OT update in OP
Posted on 7/2/15 at 4:41 pm to bencoleman
Posted on 7/2/15 at 4:41 pm to bencoleman
send the bill to your DOCTOR!
0
Posted on 7/2/15 at 4:43 pm to bencoleman
quote:
So I guess I should call a lawyer
nope, bad choice
and do everything by mail, no phone calls....you need to track everything. keep a folder. just for this faux pax.
Posted on 7/2/15 at 4:46 pm to GaTiger77
July 1 is when the new interns come in, and all the med students change rotations.
Never be in a teaching hospital on June 30 / July 1. Clusterf*ck doesn't even begin to describe it.
Never be in a teaching hospital on June 30 / July 1. Clusterf*ck doesn't even begin to describe it.
Posted on 7/2/15 at 4:49 pm to tokenBoiler
quote:
new interns come in, and all the med students change rotations
an intern or med student is not responsible for this. They would not be involved in wherever the error occured.
quote:
Never be in a teaching hospital on June 30 / July 1. Clusterf*ck doesn't even begin to describe it.
I agree 100% with this
Posted on 7/2/15 at 4:52 pm to bencoleman
quote:
Dr's of the OT
Posted on 7/2/15 at 4:53 pm to bencoleman
quote:
retested the sample and got the same results
A hemolyzed sample, when repeated, will give the same high potassium.
Posted on 7/2/15 at 11:30 pm to LSUballs
quote:
The cretins are cloning and feeding. And I don't even own a TV
you ain't missin' much
they're sellin' lies and fear to the useful idiots like hotcakes, and no end it sight neither
Posted on 7/2/15 at 11:38 pm to bencoleman
Damn that other patient has to be dead. I can't say I've seen many K levels above 7.5.
Posted on 7/2/15 at 11:42 pm to MBclass83
Would the creatinine be that high on a hemolyzed specimen? I was thinking more acute or chronic renal failure in the absence of dialysis.
Posted on 7/2/15 at 11:43 pm to bencoleman
The blood was hemolyzed. It destroys the blood cells, thus releasing intracellular potassium out into the bloodstream. This causes the elevated result.
I've seen this over 100 times in the ER
Every time, the patient is pissed off
They had a 70 y/o come in from his camp, down Bedico Creek at 10pm with his dog and no boat lights. Sheriff was waiting at the dock in him. He was PISSED!
I've seen this over 100 times in the ER
Every time, the patient is pissed off
They had a 70 y/o come in from his camp, down Bedico Creek at 10pm with his dog and no boat lights. Sheriff was waiting at the dock in him. He was PISSED!
Posted on 7/2/15 at 11:54 pm to bencoleman
Should've gotten an EKG in the ED before giving you kayexelate. If there were no peaked T waves, you could've avoided a lot of trouble. A lot faster than checking labs.
Posted on 7/3/15 at 12:11 am to Ric Flair
quote:
Should've gotten an EKG in the ED before giving you kayexelate. If there were no peaked T waves, you could've avoided a lot of trouble. A lot faster than checking labs.
um no, that'd be an awful idea. EKG isn't sensitive enough and you're treating a K of 7 (assuming it's real) regardless of the presence or absence of any other findings. If you want to keep a license that is. ETA: I meant it's an awful idea to use the EKG to decide whether or not the K is real and whether or not to treat it. You obviously want to at least get the EKG to see what you're dealing with in case it does show anything.
This post was edited on 7/3/15 at 12:26 am
Posted on 7/3/15 at 12:25 am to TMDawg
In an otherwise healthy guy, I would get an EKG before starting any treatment, because I would assume a lab error. Assuming its a healthy guy who is making urine and not dehydrated. If I think it is real, I'd probably start a iv fluids and glucose/insulin to force the k intracellularly initially, then get him to dialysis.
Posted on 7/3/15 at 12:53 am to Ric Flair
You're definitely right about getting an EKG but my point was that if the EKG was normal, that basically doesn't tell you anything regarding the K so it's not like the absence of peaked Ts (or any of the other things you can get with hyperkalemia) would've changed it. Just saying that people get burned by that sometimes by assuming the EKG is sensitive when it isn't.
Posted on 7/3/15 at 4:14 am to TMDawg
LoL at some of the comments in here...
Posted on 7/3/15 at 5:06 am to Ric Flair
quote:
Should've gotten an EKG
One of the first things they did.
Posted on 7/3/15 at 6:23 am to pleading the fifth
creatinine wouldn't have been that high with a hemolyzed sample. You would also have to look at the blood urea nitrogen level for renal problems.
Something else I thought of is if sample was hemolyzed, the sample should have been rejected by testing facility and a recollect requested.
Something else I thought of is if sample was hemolyzed, the sample should have been rejected by testing facility and a recollect requested.
Posted on 7/3/15 at 7:46 am to MBclass83
quote:
creatinine wouldn't have been that high with a hemolyzed sample. You would also have to look at the blood urea nitrogen level for renal problems.
Something else I thought of is if sample was hemolyzed, the sample should have been rejected by testing facility and a recollect requested.
At this point it's pretty much known that the sample wasn't hemolyzed.
Posted on 7/9/15 at 10:44 am to bencoleman
I need a new primary care physician. Does anyone have any suggestions please?
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