Nubain drip for itching???
- 0Dec 11, '03 by glascowThe anesthesia group where I work orders Nubain gtt prn itching when pt has an epidural with Duramorph. I can not find any literature about this.
Does anyone else use Nubain drips?
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- 0Dec 11, '03 by imenid37Works better than using a narcan ggt which tends to knock out the pain relief more than nubain since it is a pain reliever itself. Used it several times w/ pretty good results. I see you use duramorh. The place I used to work used Duramorph a lot too. We don't see as much itching w/ a continuous epidural fentanyl/ropivicaine infusion. Just curious...Do you l have to (this was our policy) check resp q1 hr and document or have pt. wear an apnea monitor w/ Duramorph? (it's been almost 10 years since I worked w/ it).Last edit by imenid37 on Dec 11, '03
- 0Dec 12, '03 by glascowWhen I worked in ICU and the pts had a duramorph epidural they were always monitored q1 , but all ICU pts were.
Now I'm working in an outpt surgery center with overnight care. When I get pts the epidural is already out, they just use it for surgery, usually on the post-op hysterectomy patients, however, many pts still c/o itching.
I never questioned using the Nubain gtt in ICU, and thought nothing of it over here, but several of the nurses are saying they are not comfortable having a pt on a Nubain drip at this facility.
We then did some research on Nubain and cannot find documentation that supports its use as a continuous drip. I agree it does work well when Benadryl fails.