Your least favorite patient. - page 3

Whats your least favorite type of patient to take care of in the ER..... Mine would have to be the drug over dose....had one on my last shift the treatment is pretty much the same What we normally... Read More

  1. by   imenid37
    Recently we had a crystal meth. user w/ teeth from he!! who arrived by ambo. The crew told us she was fully dilated, ready to push, breech, late 2 nd trimester. She was closed, thick, and high, very belligerent w/ a crazy, yet well-meaning family and was begging for pain meds. We kept her for awhile and DC'd her. Next night we get a call to fax her records to another hospital 20 miles away. YIKES!!!!!
  2. by   NurseFirst
    Quote from mjlrn97
    Yeah.....wonder what's up with THAT? :chuckle Isn't it funny how some folks will suddenly (and dramatically) become 'ill' when the sh** hits the fan and they have to face the consequences of their bad behavior...........
    Well, hey, stress does reduce immune responses...

    NurseFirst
  3. by   VivaLasViejas
    Quote from NurseFirst
    Well, hey, stress does reduce immune responses...

    NurseFirst
    No kidding........I ought to know, huh? :chuckle Only difference is, I'm not on trial for something that could send me to prison for the next 20 years or so---that is, if there's any justice in the world.

    Of course, I've always taken a dim view of celebrities who check themselves into the hospital for "exhaustion" or some such BS. The average Joe or Jill can't do that.......no, we lesser mortals have to get over such things on our own, which is just fine with me as I can't respect anyone who needs to be hospitalized whenever they get a case of the vapors.
  4. by   weesyanne
    Quote from JessicRN
    May I ask what the Pancreatitis was related to, as the alcoholics with pancreatitis are a different breed altogether.
    The pancreatitis was caused by a gallstone lodged temporarily in the common bile duct. I had been having nausea and some minor pain post meals for two weeks or so, but it always went away. One day it didn't, no thanks to what I had eaten. I went to the ER, thinking it may be my gallbladder, which it was, but I had no clue that my pancreas and liver were inflamed at the time. The pain went all the way through to my back. The stone passed on its own, apparently. An MRI and a common bile duct exploration during my lap chole did not locate it. Amylase and lipase returned to normal over three days, but the liver enzymes stayed up for at least a week longer. Gotta go, I'm at work now!
  5. by   annefan
    Quote from imenid37
    Recently we had a crystal meth. user w/ teeth from he!! who arrived by ambo. The crew told us she was fully dilated, ready to push, breech, late 2 nd trimester. She was closed, thick, and high, very belligerent w/ a crazy, yet well-meaning family and was begging for pain meds. We kept her for awhile and DC'd her. Next night we get a call to fax her records to another hospital 20 miles away. YIKES!!!!!
    I'm pretty sure it's assumable, but what happened with the baby? I haven't had any real pts of my own yet since I'm still a nursing student, but anytime I'm doing clinicals it really makes me angry when there's a pt on the floor that's pregnant & doing something really stupid that's harming the baby. I would have to say that that's my least favorite pt so far. And inevitably, they're always belligirent.
  6. by   ikimiwi
    Let's see, we seem to be having a run on 14 year old females, who after having a figh with their mother, take a handfull of whatever happens to be around,The last one took her mothers ativan, because mom took away the cell phone, she was chatting on her cell phone 2 hours later, I would have shoved that phone where the sun don't shine!!Don't know who is worse, mom or child.
  7. by   Obstinate Advocate
    I have a lot of least favorites, but the psychs, I mean real psychs, are definately at the top of my list. I hate having to try to get those initial IM shots of vitamin A and Vitamin H into them when they are already belligerent and paranoid on arrival.

    Family members are often times much worse than the pts. I can't stand the ones who are constantly coming out of the room to ask for stuff the patient can't have. It's always the family member of a bowel obstruction pt or surgical candidate that is irate because "he hasn't eaten since this morning and you people are starving him!". Or the family of a pt with a 105 temp who insist on asking everyone they come across for blankets because "dad is so cold".
  8. by   TinyNurse
    I agree with everything snowfreeze said.
    I'd rather care for a beligerent etoh man, than a demanding flu/generalized bodyaches person anyday though.
    xo Jen
  9. by   teeituptom
    I like to laugh at those wimpy guys with little cuts that when they have to wait either develope chest pain or they pass out
  10. by   snowfreeze
    Psych patients are a trip, you can usually get some vitaminA and H in em by needle then they settle down a bit.
    c-diff, that stuff stinks so does GI bleed vomit and poop. We can treat that.
    Drug abusers cannot be treated, they are just seeking drugs and we either toss em out or give em what they want. Neither is a good thing, quite depressing actually.
    Patients that have needs we cannot meet are the ones we dislike the most. They never quit whining about their problems and they want us to magically fix them.
  11. by   snowfreeze
    On a lighter note:
    My most favorite patient is cardiogenic shock. So sick so close to death, multiple IV drips, balloon pump, Zoll pads attached at all times, usually intubated for a day or so. You do so much and they usually live.
  12. by   tiredfeetED
    Quote from ManEnough
    MDs as patients. Give that smelly homeless drug addict ANY day over the "do you know how easily I could get you fired?" crowd.
    RNs as patients!!! Far worse than MDs!
  13. by   blueinplaid
    Quote from curleysue
    I would have to say my least fav patient is homeless patients who smell so so bad you have to wear a mask. We usually help lather themselves in shaving cream cause it absorbs the smell really good. The nurse and I just make them strip and we take a washcloth spray shaving cream all over it and just rub it in all over their body. We don't want them to smell so bad it disrupts the doctors evaluation.

    Another favorite patient would be the people coming in with pain (migraine, back pain, ect) who are allergic to morphine, codeine, toradol but not to demerol. Figures. Then they say, "well I usually get 50 phenergan, 100mg demerol, 50 benedryl" Yah, they know what their doing. Then when they get their meds and you come back to re-evaluate they are so drugged out sleepy you ask, "how is your pain or can you rate your pain" and they say, "its still out of control, a 10." However their speech is so slurred and they fall asleep mid sentence. I think they have had enough. Don't you?

    Curleysue

    Why demerol and not morphine or dilauded? I'm new to the ER and trying to learn to tell the difference between the drug seekers and real pain...

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