Procedures

Today I finished my rotation on Peds/Medical ICU. I got to see several procedures this past week-- a FEES, a PEG placement, and TPN compounding. For the TPN compounding, we had to change into scrubs and put on shoe booties and hair bonnets before going into that part of the pharmacy. Watching the TPN bags being prepared was really neat, especially because I've seen a lot of TPN orders being written this past week, since my current preceptor just passed the CNSC exam and is working with another RD to practice writing the full TPN orders and doing the daily followups to adjust electrolytes and macros. We also got a visit from Amanda on Friday, which was quite enjoyable, as you might imagine. No one died on my watch that day, thank goodness.

I might finally have found a case study patient-- we saw a woman today who is in the hospital following a parathyroidectomy and has an extensive PMH: ESRD due to lupus nephritis, lupus, rejected renal transplant, renal osteodystrophy, restless leg syndrome, hypothyroidism, diabetes, and HTN, among others. And this poor woman is only 41. Life's just not fair sometimes..