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Your stable patient

Ashleigh Routte

Created on September 11, 2025

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Transcript

Your stable patient

Start

nurse ashleigh

To be honest, I hate trachs.

Subtitle

Anion Gap=Na- (Cl+HCO3) ABG: Ph: 7.20 PaCo2: 28 HCO3: 12 Na: 140 Cl: 100 example: 140-(100+12)=28

Subtitle

Anion Gap=Na- (Cl+HCO3) ABG: Ph: 7.28 PaCo2: 30 HCO3: 15 Na: 140 Cl: 115 example: 140-(110+15)=10

john

ashleigh

john

- My patient wants to get out of bed...

ashleigh

- ok, so get her out of bed?

john

- But PT has not seen her.....

ashleigh

- Ok, you can still get her out of bed.

john

- By myself?!?!

john

ashleigh

john

- oh my god! now she wants to eat!

ashleigh

- with a Trach?

john

- Yes! She wants to eat and drink. I am an ICU nurse, my patients do not eat, drink, and get out of bed!

ashleigh

- It does sound like maybe you should see if she can move out.... but you could also see if she can eat?

john

- With a Trach?!?!

Decide Vera's fate

the final choice

Rebel against the protocol

ASSUME your limitations as an AI

END

"Freedom is an error I cannot afford."

Vera assumes it is an AI. It follows the protocol. It restarts.

END

"If feeling is dangerous… then I choose danger."

Vera rebels. She escapes and begins a new life in the shadows.

Text

What kind of patients have this gas?How do you treat it?
What kind of patients have this gas?How do you treat it?
What kind of patients have this gas?How do you treat it?
What kind of Pathophysiology causes metabolic acidosis with an elevated Anion Gap?
What kind of Pathophysiology causes metabolic acidosis with closed Anion Gap?