Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
Critical Care Nursing /

Drugs interaction



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 388,205 members! Join today to network with other nurses, laugh, share, and much more.

Jul 15, 2009 08:36 AM

Drugs interaction

by Sirious

I looked after a young patient who needed some extra days on the ventilator after a heart valve replacement. He has been very unwell. In the first 2 days he was sedated with Midazolam and Fentanyl. Because of chronic AF he had an Amiodorone infusion. When we had more control on his vital sighns, it was decided to stop the sedation and extubate when possible. It took atleast 12 hours before we saw any signs of wakening. He was resedated on Propofol for the night and left the waking process for the next morning. Again it took hours before he started to move his arms spontaneously. He opened his eyes, but looked right through me. Not focussing. He didn't obey commants. He didn't have any reflexes on painful stimuli. Allthough moving spontaneously but no reflexes, which I found very odd. I never came across this odd behaviour, and it frustrated me that I didn't understand this.
Researching my Palm, I discovered in the Epocrates program, that Fentanyl and Amiodorone can have severe CNS problems.
Did anybody came across these drugs reaction and what was the outcome?
Thanks.
Peter
NZ


Share

Search Tags
None
Top

 
Advertisement
Sponsored Links
 
Reply
1 Comment
No. 1
from Sirious
Old Jul 19, 2009, 06:30 PM

Default Re: Drugs interaction
A few days later, after my days of, this patient was already discharged to the ward. He had a full recovery and felt great.
Amiodorone and Fentanyl drug reaction rarely happen. Because of this occurrence, colleagues hesitate to give Fentanyl when a patient is on Amidorone. I don't agree with this as patients need their pain relief.
Cheers.
Top
 
Reply




Thread Tools


Who's Online
414 members
3,825 guests
4,239

22

16th Philly area hospital to stop delivering babies: Mercy...

2

Really interesting article on Indian open hearts

0

High-Tech Pump Does What Her Heart Can't

0

Air Force RN Force RN Found Not Guilty

6

Hospital Falters as Refuge for Illegal Immigrants

6

California Imposes Stricter Rules Regarding Drug Abuse In...

33

Are older nurses being forced out of the profession?

3

An outlook in California?

8

Australian surgeons successfully separate conjoined twins

44

Disruptive behavior by doctors, nurses persists a year...






Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: