Drug Seeker Antics and Dramas - page 5

They are an everyday event in almost every ER around the country. What is the drug of choice in your area? I've noticed around here it is Vicodin. Our latest little treasure was an ex RN... Read More

  1. by   galenight
    Even though we've gotten a bit off topic here, I'm going to throw my two cents in. I am also a migraine sufferer, as well as fibromyalgia, and some pretty hefty arthritis (the one in my back courtesy of a work related back injury, but that's neither here nor there). Anyway I also have tension headaches. I am in pain 24/7. I have been to the ER once for a migraine. I was driving home from work and had a bizarre taste in my mouth, sudden onset of 10+ pain in my left eye and I was seeing pink around the edges of my vision. I was treated with.....(drum roll please)..... O2. yes... high flow O2.. until I had peripheral numbness and tingling. I did, however tell the docs no narcs, since I had to drive home and get kids as hubby at the time was out of town. I have been to the renowned Diamond Headache Clinic in Chicago (an 8 hour drive), have been on many abortives and preventatives including antidepressants, Lopressor, anti seizure meds and others. About the only thing that ever works for me is Toradol 60mg IM. I self administer at home. If caught early I'm good to go. If not, I suffer through. I am fortunate to not have nausea or vominting most of the time. Anyway, I'm not quite sure what my point was, but to put my 2 cents on migraines in.

    by the way, the drug of choice in my neck of the woods in Vicodin... oh.. and could you make that ES please, the plain doesn't touch me.

    Also have many elderly on Duragesic, PLUS oral analgesics such as vicodin, fioricet etc.
  2. by   ang75
    We use O2 for "cluster headaches". Works wonders.
  3. by   teeituptom
    Quote from ang75
    We use O2 for "cluster headaches". Works wonders.


    except when they really want dilaudid
  4. by   ang75
    exactly tee it up tom!
  5. by   kids
    Quote from teeituptom
    except when they really want dilaudid
    Having recently been the recipient of a Dilaudid PCA...I can NOT magine why anyone would actully want the stuff...yuck.
  6. by   vablueyes
    In our ER, the frequent flyers are presented with a letter from the ER Director, saying that while they may have real migraine headaches, their efforts to find relief have been too frequent in our ER. So, they will not get any narcotics (although toradol and tylenol will be administered) until they present back with a letter from a neurologist or pain clinic stating that they have been evaluated. You wouldn't belive how effective this has been. It is a very nice way to say we don't believe you, but will treat you if you come to us. But, if you want the big guns, you need to play by our rules.
  7. by   teeituptom
    Quote from kids-r-fun
    Having recently been the recipient of a Dilaudid PCA...I can NOT magine why anyone would actully want the stuff...yuck.



    I dont understand it either

    but they do
  8. by   MEME_BSN
    At my hospital we have a social worker specifically for the ED she creates care plans for frequently fliers. She has been very successful at detering those that abuse the system and getting them help elsewhere and in the community. For some pt the requirement is that they must call their pvt doc first before coming to the ED. It gives people accountablity.
    The social worker is awesome she has saved the hospital over 3 million dollars!

    MEME
  9. by   SRbear
    This morning I woke up with the most horrendus headache I have ever had, it was actually frightening. (do have a hx of migraines) I was in a cold sweat and throwing up. I took my migraine med, Frova, but threw it up.(this was my first Rx for Frova, don't think it works too well for me) Being a nurse, the last place I want to go is the ER....but this headache was unbearable. I did not care what they treated me with, did not ask for anything specific, except to please stop my head from exploding. My husband drove me to the hospital, stayed with me, rubbed my back and held my hand, bless his little heart! It scared him also. What they gave me was IV Benadryl. IV Solumedrol, and IV Dilaudid (1 mg.) After 1 1/2 hours, they woke me up....headache was gone. The ER doc had asked me what I thought would help my migraines, and I think he was surprised when I asked for Imitrex nasal spray and not for narcotics, and said he would be glad to write a script for that. Maybe he was not surprised..but I know the ER treats lots of drug seekers. I have to say I was impressed with the folks at the ER..and yes I work at that hospital....will have to write them a letter saying thanks. My hat off to all those that work ER !!
  10. by   critcarenurse16
    Quote from z's playa
    In the States, I think Compazine is an anti emetic right? Well here we have Maxeran which is also an anti emetic. I get that all the time. It too makes me jittery but only when mixed with certain things. I seem to be real sensitive to the jitters and I'm talking shaking crawly jitters. It works well at onset but not very much later on. Thanks for the tip
    We have a doc that swears by inapsine. We give benadryl 50 mg IV just prior to the inapsine to off set the extrapyramidal effects that can occur. We usually give a 500 ml LR or NS if they have been nauseated or had emisis. This combo works great for migraine sufferers.
  11. by   teeituptom
    Quote from critcarenurse16
    We have a doc that swears by inapsine. We give benadryl 50 mg IV just prior to the inapsine to off set the extrapyramidal effects that can occur. We usually give a 500 ml LR or NS if they have been nauseated or had emisis. This combo works great for migraine sufferers.
    Inapsine has been pulled as it has some serious side effects
  12. by   missmercy
    Quote from mariedoreen
    Just from working in a pharmacy for several years I cannot tell you how many horror stories I have heard from migraine sufferers. People whose migraine are lasting days with no relief. Especially if they don't get started on their meds right away. Because mine are usually alleviated with sleep and Naproxen Sodium I've often doubted that they're true migraines, but the one thing I've learned is that there is no typical migraine sufferer. Yes, there are a lot of abusers of the system, but unfortunately there are also a lot of those who go unbelieved because of those abusers. I'm so sorry you have to go through that on top of your pain.
    Thanks for your well spoken and compassionate words. Yes, we all suffer differently AND find relief differently!
  13. by   Nurse Ratched
    Quote from teeituptom
    Inapsine has been pulled as it has some serious side effects
    Despite the black box warning, I miss droperidol - 5 mg plus 2 of Ativan used to be the wonder drugs that worked wonders on our most violent psych pts.

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