Doctors Order for August 26, 1993 - Contents:
Rather than the gradual discontinuation of medication called for by the Standard(bookmark), Seth's insufficient intravenous Ativan was discontinued and switched to the oral form.
During the morning hours the Vital Signs note that Seth was asleep. This state of sleep produced an improvement in the Heart Rate and Blood Pressure.
However, during the afternoon when the record notes that Seth was awake, the Blood Pressure was elevated and his Heart Rate was in Tachycardia. At 2P.M., the Heart Rate was 120BPM
Most seriously, Seth was still restrained to the bed during the day. These restraints were also witnessed by the intern during his\her interview.
Ativan was never administered in the correct amount needed to produce deep and continuous sedation. This failure to treat resulted in persistent Tachycardia, periods of Hypertension, on-going Delirium and most seriously, continuing agitation which required the prolonged (and cruel) use of restraints.
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