Currently she has a nasogastric tube in place. A urinary catheter is in place with the return of a small amount of dark amber fluid. She is not assisting the ventilator. She is receiving continuous cardiac monitoring and will have hourly vital signs and urine output recorded. Chest x-ray was clear with the ETT and NG tube in proper placement.
Assessment reveals tenting of the forearm skin.
By 24 hours, she is hypertensive and remains mechanically ventilated. She follows commands slowly, but appropriately. IVPB q12h 4. A Quintin catheter is inserted in Rosa's right internal jugular vein. Hemodialysis is started, Rosa's pulse oximetry and BP drop.