|
The patient, a (b)(6) male, had an extensive medical history that included: poor self-care, malnutrition, chronic kidney disease, chronic heart failure with pulmonary edema and moderate mitral regurgitation, severe peripheral vascular disease, chronic pain due to left lower-extremity (b)(6) wounds, a history of opiate dependence, metabolic encephalopathy, coronary artery disease, hypertension, recurrent c diff, (b)(6), and tobacco dependence.He was admitted on (b)(6) 2018 with failure to thrive, weakness, confusion, and progressive weight loss.Hemodialysis was initiated on (b)(6) 2018.At 0101 on (b)(6) 2019, the patient yelled out of his room, stating that he was bleeding.The rn found that the patient, ¿had pulled his [ij] hd catheter¿, though later it was revealed that the catheter remained fully inserted and sutured in place.Rrt was called.While the rn was holding pressure, the patient began agonal breathing and became unresponsive.A code blue was called, and at that time the patient was pulseless.Compressions and cpr were initiated, the patient was intubated, and acls protocol initiated.Swat rn, who was involved in the code, took over holding pressure on the neck, used his finger to clamp the right arm of the dialysis catheter, which was missing the hub and from which blood was spurting.The code was unsuccessful and the patient expired.
|
