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.
Emergency Nursing /

Assessment & Monitoring, ETOH+ (and some questions about Geodon)



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 385,902 members! Join today to network with other nurses, laugh, share, and much more.

Jun 22, 2009 06:08 PM

Assessment & Monitoring, ETOH+ (and some questions about Geodon)

by NursingAgainstdaOdds Premium Member

Does anyone have some good resources on assessment and monitoring of intoxicated patients? Like everybody, we have an extraordinary number of these types of patients, and I would like to brush-up my monitoring and documentation. We also have a lot of intoxicated and/or mentally ill patients who receive Geodon/Ativan, as we have a specific psych portion to our ER. I would like to be better at monitoring of patients who have received these drugs, as it is pretty standard fair for the out-of-control and violent patients.

Help, advice, resources would be greatly appreciated.


Share: Submit Thread to Facebook Submit Thread to Twitter Submit Thread to Technorati Submit Thread to Google Submit Thread to Reddit

Search Tags
None
Top

 
Advertisement
Sponsored Links
 
Reply
3 Comments
No. 1
Old Jun 22, 2009, 07:31 PM

Default Re: Assessment & Monitoring, ETOH+ (and some questions about Geodon)
We use the CIWA protocol for pt who are in withdrawal.
Top
 
No. 2
Old Jun 22, 2009, 07:38 PM

Default Re: Assessment & Monitoring, ETOH+ (and some questions about Geodon)
Not speaking to a pt in withdrawal, though there is always that possibility, particularly when they end-up in the ED for 13 hours ... I am talking about a typical highly intoxicated pt who is being monitored in the ED. I also end-up having a lot of these patients dosed with Geodon/Ativan and have some confusion related to how those drugs affect the pt neurologically and what more I can include in my assessment and documentation.
Top
 
No. 3
from deefromlv
Old Jun 24, 2009, 02:50 PM

Default Re: Assessment & Monitoring, ETOH+ (and some questions about Geodon)
I treat sedated ETOH patients the same as unknown altered LOC patients. I try to do q15min checks. I include a pupillary exam and document it is consistent with the medications given, airway management, cardiac function, output, and of course vitals and GCS. I treat them as if they might have a head bleed because you just never do know. I've had several ETOH who have turned out to be head bleeds. As for the psych patients I do vitals, have they been offered food, safety protocols initiated or maintained, and mood/affect.

D
Top
 
Reply




Thread Tools


Who's Online
501 members
4,733 guests
5,234

3

Nurse Practitioner listed with the fallen at Fort Hood

7

Hospital bill stuns slain student’s parents: $ 30,000 for 5...

26

Doctors-in-short-supply-responsibilities-for-nurses-may-expa...

12

Less regular sleep for ICU nurses may lead to errors

17

Nurse sends unused medical supplies to needy nations

24

Premature Births Are Fueling Higher Rates of Infant...

6

MRSA Strain Linked to High Death Rates

26

RI hospital fined $150,000 in 5th wrong-site surgery since...

66

Nursing: One of the 6 Thriving Jobs that are Here to Stay???

90

Dad Fights Hospital to Keep Baby on Life Support






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: