He's less actively fighting against his restraints this time? He's still coughing with every muscle in his body going rigid, and relatedly desatting fast. 

She gets a lot of secretions out. 

Yeah okay she's going to check his blood pressure - in thirty seconds once he's slightly calmed down from having horribly uncomfortable medical procedures done to him - and if it's acceptable she'll give him another sneaky bolus of midazolam and then bump the rate up to five an hour. She's pretty sure five an hour is the max but, unfortunately, her patient is now in precautionary airborne isolation because he is maybe a WIZARD who might have CONTAGIOUS ALIEN SMALLPOX.

She really should bring a computer-on-wheels in here. And also get this kid his steroids so his immune system stops slowly destroying his lungs in its panic. Except that she also needs to bring Isobel backup meds - or delegate that but the question is delegate it to who - it's just after eleven and Nellie grits her teeth and reminds herself that Rick is arriving in half an hour and their night will get much better then. 

Ideally she will personally lay eyes on Ma'ar before 11:30, but also apparently she missed the opportunity to tell Isobel not to drug him, so probably he's fast asleep now? 

Her current patient's next blood pressure is 115/56. 

Yeah, neat, he's getting a 2mg sneaky bolus of midazolam then. Followed by Nellie actually remembering to increase the rate on the pump and restart it properly, with a remaining bag volume of 90 ccs which she's pretty sure is approximately right and shouldn't result in a line full of air bubbles when it runs dry. 

By the time she's finished all of that fiddling, his sats are back up to 92%. 

Nellie has to pee so badly and the nearest bathroom requires walking past the staff room and in line-of-sight from the nursing station, at which point someone will almost certainly accost her with some other urgent task. 

She is going to be a slightly terrible person about isolation precautions, and pee in dumbass kid's attached bathroom. She takes her gloves off first and washes her hands after and then dons new gloves. 

The patient is sleeping peacefully. His sats are now up to 93%. His next blood pressure comes in at 109/51. 

SEE she was RIGHT he just needed to be more sedated!

...Either that or needed to be suctioned. Or it's a straight-up coincidence. That's totally possible. 

Nellie checks that the blood pressure is set to every 5 minutes, reminds herself that he super needs an art line - she's pretty sure painful stimulation is bad for patients if you want to be carefully minimizing their oxygen consumption, even if they're sedated - but ideally that would wait until one of the other docs comes in. Where the fuck is Dalrymple. Wasn't he supposed to come in?

Nellie would really prefer Dr Zee onsite for a night like tonight, but it's not even Dr Zee's night on call so it feels very gauche to beg for it, even though arguably it's not begging if Dr Zee offered via text message, but still...

She checks that all of the IV pumps are running and have at least an hour left, and then she slips out into the vestibule to de-gown and de-glove and de-mask and wash her hands even though all of this is probably pointless, and then she leaves the room and checks the time on her phone. 

(It's now 17 minutes since Isobel asked her for norepinephrine in 20 minutes.) 

She should definitely get a move on that! 

- probably she can spare fifteen seconds to stand outside Ma'ar's door and peek, and if anything looks obviously on fire then she can call the nursing station from here and if that fails she can call Emmy's cell phone and probably someone else will be able to deal. 

Ma'ar is currently still, breathing steadily on the ventilator, vital signs all perfect. He's also kind of diagonal in the bed again with one foot dangling out past the lower bedrail. 

How is Ma'ar this good at ending up in bizarre position in bed despite being restrained and attached to half a dozen tubes and lines??? Nellie will never understand it. Personally, if she were ever an ICU patient (god forbid) she's pretty sure she would be too scared to move. 

She does not especially feel like perturbing this situation any further right now, though. She heads for the nursing station at a jog, and goes to pull some norepinephrine vials from the meds machine and starts mixing, all the while glancing anxiously at the (apparently-deserted) nursing station and bank of monitors. 

Nothing explodes, either metaphorically or literally. 

Nellie brings the neatly labeled bag over to 196 (along with a spare IV tubing shoved in her pants pocket just in case that's needed, because she is perhaps slightly competitive around Isobel.) 

"Hey. Brought you the norepi you'd asked for?" 

Isobel is perched on a wheely chair in front of a portable computer, glancing between the screen and her patient and her patient's monitor, but she whips around and jumps lightly up from the chair, smiling at Nellie. "Oh, good. Wondered if you'd forgotten." 

"Ha. I never forget. Dumbass pool drowning kid in 201 is misbehaving so I nearly had to call in backup but I made it. Figure I'd better get you the phenylephrine top-up now before any other fires start. And lab tubes for midnight, right?" 

(Nellie has in fact completely forgotten what lab tubes were requested, but. It'll be searchable in the patient's chart. She is not going to admit to being disorganized in front of fucking Isobel.) 

"You're a doll. - What's your kid doing? He's the one who's very hypothermic for no reason, no?" 

"Also a ton of other very mysterious problems! Hypoglycemic like crazy, even though normally you'd expect the opposite, right - and his sodium's high - we were texting with Dr Zee and she thinks it looks like a saltwater near-drowning presentation, even though he was found in a pool -"

"- I would bet money that he's another alien." 

See! This is why it's hard to stay mad at Isobel even when she's continually a raging bitch to anyone who she can get away with it to! 

"Sorry, I would but I'm not gonna bet against you now, you're not the first person to bring it up. We put him in precautionary isolation just in case of the alien smallpox thing. Even though Ma'ar turned out not to be contagious with anything." 

Isobel tosses her head, making her glossy ponytail bounce. "Well, good luck with that. Is he sufficiently sedated? If he might be a wizard you should make sure of that." 

Yes. Nellie is aware that Isobel holds this opinion. Nellie is personally of the opinion that Ma'ar should be sedated less and is not actually an enormous threat to the entire unit. 

...Though she can't even disagree because she's pretty sure that even in the scenario where her dumbass half-drowned kid is not a wizard and there's somehow a perfectly mundane explanation for everything, she would want him to be thoroughly sedated and ideally paralyzed so he stops burning excess oxygen by freaking out. Or even just by shivering. 

"Yeah. I don't think he's as sedated as I'd like but he's also still very out of it, his temp is below thirty. I'm going to ask for more orders as soon as I've gotten you what you need and checked on Ma'ar. Which I'd better get started on." 

And she escapes. 

The bank of monitors at the central station is still deserted and quiet. It's apparently 11:14 pm. 

....She should give Loren a proper report at some point. Chantal will be fine, she's had 198 before. Also there are a thousand other things to do and she still has to prep Isobel's meds - she saw the monitor readouts in there, if she were in Isobel's position she wouldn't want to leave even to pee. (And it's one of the standard non-airborne-iso rooms that doesn't even have an en-suite bathroom...) 

Nellie sighs and heads back to the med room to pull ten vials of 10mg/1ml phenylephrine, because this stupid underfunded hospital has been out of stock on the 100mg vials for an entire fucking year. 

She mixes drugs. 

Gets bored halfway through and checks her phone.