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How do you treat headaches?



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No. 10
Old Feb 02, 2008, 11:02 AM

Default Re: How do you treat headaches?
oh
my
word.....
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No. 11
from Larry77
Old Feb 02, 2008, 02:49 PM

Default Re: How do you treat headaches?
IV flluids, benadryl/compazine or Reglan if that doesn't help maybe some Toradol...no narcs at our hospital plus most of these patients have pain contracts which our docs are very good at following.

Don't usually use O2 but that's a great idea...
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No. 12
from LeesieBug
Old Feb 03, 2008, 01:29 AM

Default Re: How do you treat headaches?
toradol, compazine, benadryl....this trio is the most popular in our ER, and tends to be effective for most patients.

We have a couple docs that will throw in some nubain.

One doc is a fan of caffiene......

One doctor loves droperidol.

Another prefers DHE

funny...you can pretty much tell who wrote the order just by the med combinations.
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No. 13
from elthia
Old Feb 03, 2008, 04:45 AM

Default Re: How do you treat headaches?
Originally Posted by licensedcertified View Post
Here is a great old fashioned "cure they pts can do all by their little lonesomes! My son at age six used to take his little ring fingers fourth from his thumbs) place them on either side of my a person's temple(forehead ) and gently rub tell them close your eyes, imagine a peaceful place.
I do that all the time...doesn't work for status migraine. Status migraine is much much different than stress or tension headache, and much more complex
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No. 14
from Jenny Renn
Old Feb 03, 2008, 07:58 AM

Default Re: How do you treat headaches?
Aspirin promotes cerebral blood flow (as well as increasing blood clotting time) and is regularly used for migraine in W Australia.
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No. 15
from Anagray
Old Feb 03, 2008, 01:20 PM

Default Re: How do you treat headaches?
<<<<Re: How do you treat headaches?
Here is a great old fashioned "cure they pts can do all by their little lonesomes! My son at age six used to take his little ring fingers ...............all for that matter!
02-01-2008 04:11 PM >>>> posted by lisencedand certified.
I'm sorry, ........what???????

Nat
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No. 16
Old Feb 03, 2008, 04:58 PM

Default Re: How do you treat headaches?
IV, WO fluids, Benadryl, Compazine, cool dark room with the lights off. Rinse and repeat if necessary.

This works probably 99.9% of the time. DHE has become popular lately too. Occassionally I see them order Nubain or Toradol for the most stubborn BUT they exhaust other avenues 1st including a head CT.

For those with a list of allergies a mile long or for the 0.1% where the above doesn't work - they get shipped to our big "sister" facility for a neuro consult.
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No. 17
Old Feb 06, 2008, 01:09 AM

Default Re: How do you treat headaches?
Originally Posted by licensedcertified View Post
Patient Care Technology thank you, its too new for most places, some hospital staff think PCT 's are C N A's, wrong.I had to take exams to get a license,some PCT's are taught to do everything LPN's and RN's can do. Clinicals were at a hospital on a telemetry unit for 300 hours, with 300 hours in palliative care in Hospice.I worked as soon as I graduated since I acquired my PCT license as soon as I could, was told I was hired because of my PCT license, and from a great school that has as a teacher an RN for 18 years who made sure her students knew their business and ethics.Maybe those in question are not licensed to pass out medicines, maybe they are PCT's or worse, but the only difference between a NCPCT( Nationally Certified PCT with a license) with 25 years of experience (and legally certified to pass hospice meds under pt and doctors orders) and a LPN or even RN is :a PCT is not allowed to pass out meds, and can perform nursing routines like IV's, catheters only if it is legally in that agency's policies etc. is which I hope the above people who are giving out medicines that are addictive and dangerous and illegal remeber. Believe me I have been in the business of caring for the dying for over 25 years, and will continue for 50 more and not settle for ancient remedies like poor unethical wokers passing out illegal dangerous substances. I was not hired to keep my mouth shut, in fact my workplace has a zero tolerance for substance abuse and illegal use of prescribed drugs. What do you do? Do you have a job? I have had mine a long long time and get paid very well thank you please. I and my colleagues have only five pts at the most in a setting of only 70 pts at full house... a dream job compared to others. To get a PCT license, one needs to have a CNA License, it used to be called a certification, this year its changed, as did the CPR manuevers, ie 15 compared to 30 compressions etc. We answer to the pts first, with their doctors and nurses care plans followed , not according to our own preferences and such...
Wow very interesting. Our hospital uses PCT's but none of them have any type of certification (much less a license) except their CNA. What body issues the licenses? Sorry just had never heard of this.
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No. 18
Old Feb 06, 2008, 11:02 AM

Default Re: How do you treat headaches?
Originally Posted by hospitalstaph View Post
Wow very interesting. Our hospital uses PCT's but none of them have any type of certification (much less a license) except their CNA. What body issues the licenses? Sorry just had never heard of this.
I was wondering the same thing.....
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No. 19
from TinyNurse
Old Feb 14, 2008, 07:35 PM

Default Re: How do you treat headaches?
The most effective way i've seen a headache treated was reglan 10mg ivp, benadryl 25mg ivp, and 1 liter .9ns wide open. I'd say within 10 minutes just about all of my patients with headaches were thanking me because their pain was relieved.
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