How do you feel about giving IV Dilaudid (or Dila-la as we call it :chuckle )? B/c in my practice, I see a lot of people turning into addicts when they receive it. They also always want Benadryl and Phenergan given with it...hmm..wonder why...
I personally hate giving it and I hate that the pts think they are pulling one over on me saying "I have itching/nausea/etc too and push it fast". Ugh. I push slow and educate every time I give it.
Dec 29, '08
Hey there. I'm one of the unfortunate folks who can't use pain meds because they cause me to itch severely. I had major surgery recently and I asked for "something for itching" with the Dilaudid because narcotics (any narcotic stronger than 1 Darvocet) causes me to itch from head to toe! The choice is awful: suffer in pain - but not itch, or have pain relief, but itch like CrAzY! Or have something for itching along with the pain med < even this is not desirable because all I'd do was sleep. I typically HATE Benadryl - but without... I'd stay awake and scratch ALL night and be even more sleep deprived.
There's no dispute that a request for a 'fast push' should make a light go on, and it's good you educate the patient about the dangers of such, but please don't be so quick to judge someone who states they itch with pain meds! No offense, but maybe you need some education that this can/does happen. The first time it happened to me (years ago) it was several hours (the better part of a shift) before an order was called in for my intense itching - my physician at that time "educated me" that I should always remind my anesthesiologist and doctor both, to make sure I have something on hand for itching. Patients know when they have this sensitivity and should not be labeled for something that is entirely out of their control. I would be MAJORLY p.o'd if a nurse judged me for such a thing!
Last edit by NRSKarenRN on Jul 6, '09