"Holly Lisle - Sympathy for the Devil" - читать интересную книгу автора (Lisle Holly)drug out of the cart. She injected it into the IV, wrote down the time
she’d given the drug and the amount she gave on a paper towel, and watched for any change in that thin green line. She said, “Your daughter called to tell me she and your two grandchildren would be stopping by this evening. You have a very nice family. They love you very much.” The ventilator hissed, the IVs dripped and beeped, and Mrs. Paulley’s cardiac rhythm got worse. Dayne put the blood pressure cuff on automatic and set it to do a check every minute, then lowered the head of the bed until it was flat. “Stacy,” she yelled, “get the nursing supervisor and the respiratory therapist up here stat, and change Dr. Batskold’s page to stat, too. She’s going to code on me!” Mary Deiner ran into the room. She was one of the other three RNs in the unit; her patients were bad, too, but the ICU nurses helped with each other’s codes. “What do you want me to do?” “Defibrillate when we need it. Push drugs. I’ll do CPR.” Mary nodded, and warmed up the defibrillator. The high-pitched whine of that machine joined the rest of the machine noises in the cramped room. Stacy came in and grabbed the code log. “Should I start it now?” Dayne was running in a second bolus dose of the cardiac drug. “Not yet. She still has a viable rhythm.” She shook her head. “No—go ahead and write these down.” She handed the ward secretary the paper towel with the blood pressure and the two titration of the IV drips. The blood pressure monitor showed that Mrs. Paulley’s pressure had dropped. Her heart was failing fast in spite of everything Dayne tried. “Increase the dose on her Nipride for me, Mary.” The machine that ran the blood pressure medicine was closer to Mary than to Dayne. Dayne studied the monitor. The wide, slashing Vs of the irregular ventricular beats still ran across the screen in clumps. Then all the normal beats vanished. The monitor showed nothing but a broad band of up-and-down slashes—its alarm went off at the desk with a scream. The blood pressure monitor alarmed at the same instant. The old woman’s heart was no longer moving blood through her lungs into her brain or other vital organs. She had no blood pressure and no pulse. “Shock her,” Dayne said to Mary. “Start at a hundred joules.” That was a low amount of electricity, but the old woman was nothing but bones. The supervisor and the respiratory therapist ran in as Mary pulled Mrs. Paulley’s gown up and put the cold metal paddles on her chest. “Clear!” Mary yelled, and everyone stood away from the bed. There was a whump as the paddles discharged their electricity, then Dayne felt for a pulse at the woman’s neck while she watched the monitor. The line that crawled across the screen was ragged |
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