Intern: Patient’s BP is now 90/50.
Resident: This is from pulling too much fluid with dialysis
Intern: Patient didn’t get any dialysis today
Resident: Then, it is from the dialysis done 2 days ago
Intern: They just called me, patient is altered and has left sided weakness
Resident: This is uremia. Call renal for emergent dialysis
Intern: He just had dialysis yesterday and he doesn’t miss any session
Resident: It doesn’t matter. It is always uremia
Intern: Patient is complaining that he is bored and wants to go smoke.
Resident: This is from not removing enough fluids with dialysis. Call renal for additional UF
Friday at 5 pm:
Intern: Patient’s creatinine is 1.8, has been like this for the past 2 weeks
Resident: Make sure to call nephrology before the weekend