itching after cesarean section

  1. Hi everyone,
    I have a question about I had yesterday. She had a c-section and she was complaining of pruritus all over the body. She had an epidural block for the gurgery and morphine for analgesia. I am wondering why is that? Is tis because she was on morphine?
    thanx
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  2. 25 Comments

  3. by   prmenrs
    In a way. It's likely from the Duramorph used in the epidural. This a very common side effect. There may be an order for Benadryl.
  4. by   moongirl
    morphine makes me wanna scrape all my skin off with a steak knife!!!
    very itchy!
  5. by   SmilingBluEyes
    Benedryl or Nubain both work where I am. But I use Benedryl first---Durmorph is infamous for terrible itching later on.
  6. by   ElvishDNP
    Quote from SmilingBluEyes
    Durmorph is infamous for terrible itching later on.
    I have found this too. Ditto on the Benadryl & Nubain. I like to use Benadryl if they're itching but pain is well-controlled by Duramorph. If they're itching but still hurting (or nauseous) I go with Nubain.
  7. by   MemphisOBRNC
    We also have an order for Allegra 120 mg po for the itching. I like using the Nubain best.
  8. by   Dayray
    25 of demerol does it too
  9. by   ElvishDNP
    I don't think we use Demerol AT ALL where I am. I remember when I worked med-surg (different hospital) we gave Dem/Phen like it was water. I haven't done that at all where I am now.
  10. by   SmilingBluEyes
    We dont' use demerol on the unit at all.
  11. by   mitchsmom
    We don't use demerol at all, either.

    I think the order of use for duramorph-related itching on our neuraxial orders go:
    nubain, benedryl, narcan
  12. by   Spidey's mom
    We use Benadryl.

    I never ever heard of Nubain until I came on allnurses.

    We use Demerol occasionally but not for itching.

    steph
  13. by   SmilingBluEyes
    Nubain is GREAT for duramorph itching. we add about 15-20mg to a liter bag and let it run for the duration of that bag. It works great. But we also have (obviously) to look for some reversal of the beneficial effects on the duramorph's pain control. That is why I use Benedryl first. But Nubain is in the MDA orders, if Benedryl is not helpful. Can't say we ever used Demerol for itching, but we have in the past, used it for post partum shaking that is persistent and troublesome. Only needed bout 12.5 mg to do the trick. We just don't use it anymore on our unit.
  14. by   Spidey's mom
    Quote from SmilingBluEyes
    Nubain is GREAT for duramorph itching. we add about 15-20mg to a liter bag and let it run for the duration of that bag. It works great. But we also have (obviously) to look for some reversal of the beneficial effects on the duramorph's pain control. That is why I use Benedryl first. But Nubain is in the MDA orders, if Benedryl is not helpful. Can't say we ever used Demerol for itching, but we have in the past, used it for post partum shaking that is persistent and troublesome. Only needed bout 12.5 mg to do the trick. We just don't use it anymore on our unit.
    We use Narcan after the Benadryl . . . . It is closely related to Nubain so I guess I'm actually not that far off from the rest of you.

    I'm very careful with Narcan - that is what I spilled on my hands 5 minutes prior to my first seizure (no, I did not have narcotics in my system) - although EVERYONE and their uncle says there is no connection. I still wear gloves around Narcan though . . .

    steph

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