Do you nurses typically see patients undermedicated in the ER for pain? I had the worst experience this past weekend. I have suffered chronic pain for about 10 years and at one time was on 600mg of oxycontin a day for about 5 years. I have weaned myself off of the oxycontin and now am on 120mg of roxycondone. I recently learned I have spinal stenosis in my lumbar, along with chronic kidney stones and neuropathy. So early sunday morning, after waiting over 8 hours for the pain to let up, I finally went to the ER. The ER doctor would only give me toradol and phenergan for nausea/vomiting ( I was also vomiting blood ). Finally he agreed to give me 1 ml of dilaudid (what a nice man. gag) which literally only took the edge off of my pain for about 15 minutes. Worst experence ever. I left in about the same pain I arrived in, only not vomiting. I made it a point to tell the Dr that I unfortunatelly have a high tolerance to pain meds, but he didn't care. Said chronic pain isn't treated in the ER. I thought if someone comes into the ER in chronic pain it must be treated, regardless of the cause. I wasn't asking or and RX or narcs, as I already had that at home, just wasn't working with this severe pain. Now I know the addicts probably mess things up for us who really need the relief, but shouldn't the doctor be able to tell the difference? Just curious about what you ER nurses see with regards to the subject. Thanks
Apr 13, '11
by Esme12, ASN, BSN, RN Senior Moderator
Quote from merlee
I, too, have long-term chronic pain that I manage with just gabapentin (neuropathy), IBU 800 (back and sciatica) and the occassional hydrocodone 5/325 (usually just at night). When I twisted my knee, this went WAY beyond the meds I had.
I went to the ER in pain, literally crying in pain. They Xrayed my knee, and then gave me a shot of dilaudid. Hooweeee! My head was spinning! But it sure helped.
Sorry you had such a hard time with the ER personnel.
The difference is you had a NEW acute injury that required intrvention and pain relief........not a flare of a chronic condition requiring an increase and or change in prescrbed meds. ER's are for acute issues not fine tuning chronic pain.
If the OP is having a change in her medical condition she needs to seek the care of her PCP. This site cannot offer medical advice or make judgments about medical care without the appropriate informantion about the contirbuting factors. 600mg of oxycotin is a lot of a narcotic and roxicodone is oxycontin.
I hope you feel better....
Last edit by Esme12 on Apr 13, '11