I had the pleasure of finding a patient non-responsive during my first morning rounds.
Shaking. Drooling. Axillary temp 105. O2 sat 82%.
Long story short – confused patient had foley removed the afternoon after urine cultures were positive for E. coli. Son stated that patient had been unable to void over the night.
I placed a foley and had an immediate return of 1200 cc of milky, yellow urine.
Pt responded only to painful stimuli for most of the shift. Non-rebreather in place for most of the shift.
He began to follow simple commands and answer questions (after a sternal rub) around dinner time.
Patient status returned to baseline 12 hours later.