The Nurse Who Saved Christmas Read Online Free PDF Page B

clerk.”
    “Great.” Dirk turned to Abby, meeting her eyes for the first time since they’d entered the room, and he smiled.
    A real smile that reached those gorgeous blue eyes and pierced right into her heart.
    Relief flooded Abby. Did he have any idea as to the lethalness of his smile? Probably. She soaked up every drop of his potency, letting the intensity of her emotions flow through her veins.
    “Mrs. Youngblood,” he said, his gaze flicking back to his patient. “The nurse will get you ready for discharge. If you have any additional problems or get worse before morning, I’d suggest you return to the emergency department for a recheck.”
    An hour later, the emergency department was in full swing. Every bay was full. Both physicians and the nurse practitioner on duty were at full stretch.
    Abby adjusted a breathing mask over an asthma patient’s mouth and nose, preparing to administer a beta-agonist medication via a nebulizer to rapidly open up the restricted airways.
    “You may feel a little shaky and jittery after the medication starts working,” she warned her patient. “The process that causes the bronchial tubes to dilate also speeds up the heart rate. Don’t let the reaction alarm you as that’s a natural and expected response to the medicine.”
    She turned on the nebulizer and waited to make sure the patient’s wheezing slowed before she stepped out of the bay to check on her next patient.
    Dirk was with him—a morbidly obese man who’d woken up with a sharp tightness in his chest that tookhis breath. They’d started him on meds immediately on arrival, done tests, including an EKG that showed left ventricular hypertrophy and a possible blockage. They’d stabilized him while awaiting the results of his cardiac enzyme tests.
    “I read your chest X-ray, Mr. Lytle. Your heart is enlarged, showing signs of your high blood pressure and congestive heart failure, but that shouldn’t have caused you to wake up with chest pain. I don’t see anything acute on the films, but your troponin level is slightly elevated. That’s a myocardial muscle isoenzyme that elevates when the heart isn’t getting enough oxygen. I’m going to admit you to the cardiac-care unit for close observation. The cardiologist on call has been notified you’re here and will be by soon. He’ll schedule you for a cardiac catheterization, likely for in the morning. That way, if there are any blockages, he can repair them immediately.”
    Abby began to prepare to have the patient transferred to the cardiac-care unit while Dirk answered the questions of the patient and his wife.
    The rest of the night passed quickly. The E.R. was still bustling come shift change. An hour past time for her to have left, Abby clocked out, exhausted and feeling a little woozy.
    Dirk had still been with an abdominal pain patient who’d come in minutes before shift change. Abby had offered to stay, but the day-shift nurse had taken over and had things under control.
    She’d felt relieved at the reprieve, and surprised at how tired she was. The night had been busy, but nomore so than dozens of others she’d worked, but she just wanted to go home, crawl into bed and pass out.
    She rarely got sick, but definitely her stomach churned at the thought of breakfast. Maybe she’d just skip her usual light meal before going to bed. Hopefully, she’d feel better once she got some sleep.
    She hoped she wasn’t coming down with something, especially so close to Christmas.
    Regardless, no way would she let a little nausea and fatigue get her down when she had a date with Dirk for the Christmas party on Saturday evening.

CHAPTER FOUR
    “D ON’T tell me you unwrapped a Christmas present early and found Dr. Kelley inside, because if that’s the case, I’m changing what I put on my wish list for this year.” Medical floor nurse Danielle Booker draped her arm around Abby’s shoulder on Saturday night at the hospital Christmas party being held in the ballroom