Last week we had a patient with a history of septic arthritis which was healing and had started to have abdominal pain. CT scans, XRays, and EGD was done and findings were just gastritis and no bleeding noted. Patient continued to complain of severe burning abdominal pains. MD gradually increased PRN Demerol order from 25mg IV, to 50mg and finally to 100mg IM every 2 hours. Needless to say, patient would call on the dot, sometimes even 10-15 mins early requesting for his Demerol.
I looked at his MAR and sure enough, he's been getting his 100mg of Demerol every 2-3 hours. Thats over a gram of Demerol per day! X 4 days already. This is where I sometimes dont like my job. I feel like I'm a drug dealer.