I showed this to a coworker who used to be in TCV and she said she saw this all the time, but more often with atropine and epi like drugs.....she said the first flush on the unit after returning from OR was always interesting..... Sandy Schwaner
________________________________ From: [EMAIL PROTECTED] on behalf of Cindy Schrum CRNI Sent: Tue 1/17/2006 9:26 AM To: [EMAIL PROTECTED]; [EMAIL PROTECTED] Subject: Re: Drugs left in prn adapter The volume of the extension set is 1cc. They are investigating if this volume was enough to cause those symptoms (haven't heard what drug), the patient hadn't been in PACU very long so still had drugs in her system I'm certain. The RN flushed with a prefilled saline syringe. Cindy Schrum RN CRNI IVTeam Coordinator Gaston Memorial Hospital Gastonia, North Carolina (704) 834-2707 >>> <[EMAIL PROTECTED]> 1/16/2006 10:55 PM >>> It doesn't surprise me that the anesthesiologist is adamant. I am sure he thinks he did flush it out and perhaps her did. There is the flush syringe to consider. Where did the nurse get it from? You need to consider the filling volume of the PIV and attached extension set. Was that volume enough to allow a large enough dose of know paralytic agents to stop the patients breathing? Very interesting case. Never heard of one like it. But do consider possibilities other than the MD. Tony West, RN, CRNI Healix, Inc. Email: [EMAIL PROTECTED] or [EMAIL PROTECTED] SMS: [EMAIL PROTECTED] Cell: 214-674-4848 In a message dated 1/16/2006 12:07:48 P.M. Central Standard Time, [EMAIL PROTECTED] writes: Our risk management dept has sent me the following scenario. Any one ever have a similar occurance? "I am investigating a case re: a pt. in PACU. The pt. returned from surgery with a prn adapter in her hand. Anesthesia had started another IV during the procedure due to this one being positional when they turned her on her stomach. They didn't pull it. When the pt. got to PACU, the nurse flushed the adapter to see if it was patent. About 10-15 seconds after that the lady couldn't breath, said her tongue was numb then said she couldn't move then stopped breathing. She required BMV and then anesthesia gave some reversal meds and she regained respirations. The thought per PACU RN was that there had been some muscle relaxant left in the adapter line. Have you ever heard of this or do you have any resources that may reference something like this? The anesthesiologist was adamant that they "always flush" after they give meds and that the pt got IVF after meds but no way of knowing how much d/t IV being positional and switched. " As always, I appreciate any feedback, comments you may have. Cindy Schrum RN CRNI IVTeam Coordinator Gaston Memorial Hospital Gastonia, North Carolina (704) 834-2707 ----------------------------------------- This message and any included attachments are from CaroMont Health Inc. and are intended only for the addressee(s).The information contained herein may include trade secrets or privileged or otherwise confidential information. Unauthorized review, forwarding, printing, copying, distributing, or using such information is strictly prohibited and may be unlawful. If you received this message in error, or have reason to believe you are not authorized to receive it, please promptly delete this message and notify the sender by e-mail with a copy to [EMAIL PROTECTED]
