i am still on my terrible night shift!!

i didnt think that i am that jinx...
or at least before i left for my adv dip...
i wasnt really that suay...

hahaha....

but i think i am really getting from bad to worst...

why said so??

let me narrate the story again...

i am assigned as Practical Nurse 1 tonight...
together with another of my junior...

once start shift...
i already have one T&S (Toilet and Suture) under Conscious Sedation(Ketamine) waiting for me...

it was a forehead laceration...

initially i thought...
laceration forehead only wat..
need to conscious mehz???
juz do under LET gel nahz...

but after i saw the wound...
i understand why the doc chose to sedate the child..

apparently, the wound was on another scar...
which means the child sustain another laceration on his previous injured area.

thus, the present wound is jaggered and quite big too...
and some more the child is only 3 yrs old...
thus its really advisable to sedate the child to do the T&S...

so...
as usual...
i gave the Ketamine injection...
and the child went to "sleep"....
we proceed to stitch up the wounded...

but abt 5 mins later...
we suddenly realise why the child got such noisy breathing...
like machim got phlegm stuck in his throat lidat...
and indeed, he got alot of secretion...

alrite, we suction him...
try to maintain his airway...
his saturation was still oki...
97-98%...

however, the nosie was getting louder and louder...
and really sound like as if he's choking....

so i went to get my senior doc in and review the child....

she lift the child's shirt and i saw subcostal retractions and now he even got nasal flaring and all other signs and symptoms of respiratory distress and even facial and periorbital swelling lohz!!!

kaoz!!

alrite....

then my senior doc juz goes on and on...
ordering tonnes of emergency treatment for the child...

we set a I/V Plug to give all the e drugs...
I/M Adrenaline x2....
I/M Diphenhydramine...
I/V Hydrocort...
and even gave a total of 4 nebulizers man!!

the practical room was in a total mess!!!!!

seeing us running in and out to get drugs...

and i look like a crazy woman,
diluting the drugs...
doing drug calculations...
and giving injections like nobody's business....

i pity the child...
i dun know poke him how many times...
hahaha...

but no choice sia...
we are trying to save his life...

actually he developed a analphalatic reaction to the ketamine that we use to sedate him...

i mean its not the doc or nurses' fault as its the first time the child taking this kinda drugs...
so we wont know wat kinda allergy he has....

anyway...

in the end...
the child went High Dependence...

alrite...

then darling kao pei me...
(bcoz she was the overall In-Charge....hahaha....)

since she come to work in CE....
neber had she seen once patient develop allergic reactions to ketamine...
this is her first time!!!

then as usual...
she kao pei and ask wats wrong with me lohz!!!
izzit that i neber bathe!!!

hahahah...
i did oki!!!
maybe i should try flower water next time...

hahaha...

i mean as if i want lidat....

do conscious till patient go High D...
i oso dun want mahz...

lol...

then my subsequent Let Gel oso turn conscious bcoz the child was bloody fretful!!!

hahhahaha...

and i had practical one follow by another one till 3 am lohz!!!
and now i am on break...
but they are still doing one FB removal...

i am really suay sia!!!

so i tell them...

today all my Let Gel turn conscious...
then my conscious turn analphalatic reaction...
then go High D!!!

hahaha....

haiz...

juz the suay me nahz...

i have to admit nahz...

and this is not the first case...

that day i did practical with doris too...
oso under ketamine...
and in the end the child developed aspiration pnemonia...
then admited...

hahaaa....

not my fault either...

maybe its juz my suay-ness...
overcrowding me...

ohohohohohohoh....

but i love it...

it gets my adrenaline rushing!!!