Re: Simple things new nurses or experiece nurses are not doing?
how do you guys address constipation?
given the amt of narcs most of these pts are on, do you give anything to prevent it?
or ask pt if they have gone?
leslie
I work on a CTS floor. Our patients come out of the ICU on some pretty heavy-duty narcs.
If they haven't had a BM by the early morning of post op day 3, we do things like. . . .
Milk of mag + warmed prune juice + a splash of either coke or coffee.
disgusting, I know, but it generally works.
Or we have a PRN order for a dulcolax suppository.
If all else fails, we call in the Mag Citrate.
Since we are a post-op floor, our surgeons give us pretty much a free rein with what we think will make our patients poo.
One of the things I think new nurses should know is that a lot of "older" patients take laxatives, etc on a regular basis.
If they do on a regular basis, and you aren't giving them laxatives or stool softeners when they are in the hospital, bad things will happen.
And people may not be completely honest when you first ask them about their bowel habits.
(I think that is probably one of the first and most valuable lessons I learned. LOL)
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