Crazy Thing Pts Say or Do - page 3

I thought it would be fun to share those crazy things pt say/do that just make you roll your eyes and say "HUH?" Here's mine. We have a patient who is allergic to the "round" tylenol, but... Read More

  1. by   ertravelrn
    My nephew was involved in a car wreck, took a pretty good knock on the head. He also had a broken leg and arm, when he was finally allowed to get out of bed, he went to the bathroom, locked the door and wouldn't let anyone in. When the staff finally got the door unlocked, he was sitting there with his gown off and he had removed both his casts.
  2. by   wooh
    Quote from TriageRN_34
    LOL, his family had the history channel blocked since I guess that was what he was watching most of these episodes and I guess assumed the role of what was going on. I said oh great...now what channels are left for him to act out??? LOL!!!!!!!!!!
    When still working nights with adults, we couldn't figure out why all the sudden we had a run of people "locked in the zoo" or complaining about puppies running in the hall or all these weird animal related things. Then we found out the tech was putting the televisions on Animal Planet to entertain the dementia folks.:roll
  3. by   TrudyRN
    Quote from CASbeezgirlRN
    Oh sure except they have no allergic symptoms whatsover! Nope, I get to know my pt's very well. They like the brands they know and love, Coumadin,Dilantin, etc. When insurance doesn't want to pay for it anymore, they start screeching about allergies :chuckle

    First, the power of suggestion and the power of fear are often factors. I know this for a fact because I personally find that, when I am fearful, I get SOB. My chest tightens and a puff or 2 of albuterol fixes me.

    Sometimes when people say they can't breathe, they might just need albuterol. So if someone tells you he is allergic, hey might be saying his chest is tight.

    Maybe check this out with a lung assessment next time it happens. You might hear some wheezing. Even if you don't, the person might be feeling that it is hard to breath. Perhaps treating for hyperventilation might help. The old paper bag over the mouth and nose procedure for a couple of minutes often helps.
  4. by   AuntieRN
    pt rings the call light...can you please send in the pain person..i have some pain i would like to get rid of.

    pt c/o h/a. has tylenol ordered. i take tylenol to her..."ohhh I can not take tylenol, it ruins my liver," "ok what do you take for h/a @ home?" "acetaminophen" I about died trying not to laugh..she was so serious too. (I know there are a lot of names for a lot of drugs and people usually know their drugs by one name...but..i figured this was one everyone knew)
  5. by   RoxanRN
    Quote from TrudyRN
    The old paper bag over the mouth and nose procedure for a couple of minutes often helps.
    Because hyperventilation can be a symptom of something serious, this is NOT a recommended (nor care standard) treatment (this 'treatment' went out of vogue many, many years ago). As you suggested, an assessment is probably in order.

    If/when you truely believe the hyperventilation does not have a medical origin (aka anxiety, stress, etc), the best treament I've found is to remove the patient from the situation (if at all possible) and get them to concentrate on you as you talk them down ('breathe in through your nose.....')
  6. by   stillpressingon
    Quote from casbeezgirlrn
    arrgghh! i have pt's all the time that are "allergic" to generics and can only take name brand meds.


    :roll had a pt one time who knew he could take meds q2h, say, tylenol, then motrin. well, he had the right idea, but didn't quite have all the info. his first dose was "motrin," then 2 hrs later he took "advil," and 2 hrs after that took "ibuprofen" !!!:d
  7. by   lashes
    Lil ol confused lady got upset at my staff and I cause we wouldn't let her get oob; she totally wigged and we had to restrain her x4. In a few minutes, she looked like she was straight out of the exorsist .. sat straight up flapping her tongue in the air and shaking her head from side to side and speaking in broken english and armanian ( spoke perfect english at start of shift and avss, blood sugar normal etc ) and proceeded to call me the blonde witch who was the leader of all the trolls in the dungeon. Was rather scary at the time...
  8. by   Cattitude
    Quote from trudyrn
    first, the power of suggestion and the power of fear are often factors. i know this for a fact because i personally find that, when i am fearful, i get sob. my chest tightens and a puff or 2 of albuterol fixes me.

    sometimes when people say they can't breathe, they might just need albuterol. so if someone tells you he is allergic, hey might be saying his chest is tight.

    maybe check this out with a lung assessment next time it happens. you might hear some wheezing. even if you don't, the person might be feeling that it is hard to breath. perhaps treating for hyperventilation might help. the old paper bag over the mouth and nose procedure for a couple of minutes often helps.
    ok these are the 2 examples i'm talking about in reference to my pt's "allergies" to generics.
    [color=#483d8b]
    [color=#483d8b]1) pt. states phenytoin "messed his leg up" and only wants dilantin from now on which doesn't "mess his leg up. when questioned further he says that 3 weeks after taking phenytoin, his bad leg felt stiff. hellooooo! it's your bad leg and yes, in cold weather it does feel stiff at times. he would not at all believe that this was not related to the generic med.
    [color=#483d8b]
    [color=#483d8b]2) pt. states that approx. 10-14 days after taking warfarin, she had some nausea. rn explained that nausea is not an allergy but could either be a s/e or a sx of something else. pt. insisted it was due to generic and insisted on coumadin.
    [color=#483d8b]
    [color=#483d8b]
  9. by   Ann RN
    Female patient that owned a restaurant at the Jersey shore thought we were trying to kill her with the hospital food. While I was standing at the nurses station an object comes flying out of her room and hits me on the head. She threw a baked potato at me! Pretty good hit, too.

    Female patient (Mary) with femoral arterial sheath/TPA infusion. Trying to climb OOB. I re-oriented her and asked her if she realized what could happen if she tried that again. With a totally straight face she said "Yes - bye-bye Mary"!

    My husband had major abd. surgery, on morphine PCA. His hospital bathroom had one of the older bedpan cleaners that you could pull away from the toilet (almost like a hose). He thought it was the shower and proceeded to fully douse himself!
  10. by   mir4777
    I had a pt come in to the ER the other day c/o back pain. She couldn't fill her pain medication for another 2 weeks. She informed me that she was allergic to shots. I didn't laugh, I asked what kinds of shots she was allergic to. "Something in all the shots gives me a rash. That's why Dr. B gives me pills." Loved that one.
  11. by   Ruby Vee
    years and years ago when i was a brand new grad working as a "gn" while waiting for my boards results, one of my jobs was to weigh all the patients while the team leaders were in report. this was a telemetry floor, and most of the patients were ok to get up and climb on the scale.

    every morning i'd go into room 4 to weigh the patient, and every morning there'd be a steaming pile of poop in the corner. every morning, the little old lady patient would say "some crazy old woman came into my room and $hit in the corner!" and every morning, the team leader would tell me to chart "confused, disoriented. large, soft formed stool." and every morning the lol would ask for a laxative, because she hadn't pooped in days.

    one morning i was early to work, and decided to get started on the weights a bit early. as i walked into room 4, the little old lady was sitting bolt upright in the bed, pointing off into the corner -- where there was indeed, a crazy old woman squatting and defecating!
  12. by   RN BSN 2009
    LOL these are great
  13. by   Ruby Vee
    the first micu i ever worked in was right across the parking lot from the helipad. one particularly busy night, a patient whose room overlooked the parking lot called 911 to report a ufo hovering outside his window. he said it was full of "bald guys just staring at me." (the pilot, paramedic and nurse were all bald!)

    years and years later, my father was a patient in that same unit. although visiting hours were quite strict, the staff made an exception for our family because dad was quite frankly nuts. (he was so afraid of being in the hospital, he'd just wig out completely.) one night he was convinced he was in jail for murdering my brother-in-law, who was a real dick. another night he was convinced the nurses were all trying to kill him and spent the whole night hollering "help! police!" but one night when there were a lot of helicopter calls, dad was being particularly quiet, and i thought he was sleeping peacefully. i was dozing in my chair by his bedside when he woke me up by tapping on my shoulder. he'd climbed over the siderails and was standing next to the bed buck naked. the ufos were trying to kidnap him, and he was trying to escape, but realized he couldn't leave his daughter there for them to experiment on. "i've already pulled out all their tubes," he said holding up his foley, balloon inflated in one hand and his central line in the other. "but i don't know what the hell to do with their handcuffs!" (monitor leads wrapped around his arm and his art line.)

    and to think i slept through that!

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