What would you do?

So your called to Urinary Retention.

Retirement age Gent, basket ball and a half size abdo, firm, pain scale 3/10.
Has had scans showing a common restriction in the bladder, needs draining.
Polydipsia, - I guess intake is down due to retention.
Dysuria, - Well it's blocked, not hard to nut out!

BP - 220/90, a tad higher than I'd like
HR - 72
Temp (tymp) - 37.2
BGL, cause we measure that stuff too - no frigging idea, Hi is all any of our machine say.

ASNSW protocol say fluids but the poor fella's tonsils are floating now and his plumbing doesn't need any more fluid.

He has a big bore in the arm just in case things turn ugly and lets get him to hospital.



They drained of 1600 mls!!!!!!!!!!!!! that is
54 fluid ounces,
3.3 pints,
1.69 quarts or
0.43 gallons of urine.


Oh and his BGL was 45.9


No history of Diabetes in this generation but his mum was insulin dependant and dad was diet controlled so for Christ sake you would have thought somebody was keeping an eye on it?

Only two more shifts with the current Padawan (sounds better than Probie, I mean Jedi Knight is a listed religion with the Australian Bureau of Statistics) and slip straight into a brand new one. Could be a testing time for him getting me straight out of school.
Cram as much work as you can into every shift night or day!
Drink buckets of coffee!
Have really shiny boots (Army time coming back there)!
And a spotlessly clean ambulance!
Study on your own time, we're here to save lives and have an insane amount of fun!!!!!!!



It really is fun in my reality!!!!



Be careful out there and I'll see you at the Big One.

Taz