Here's the situation:
1. Post Op Repeat C/S
2. Duramorph Spinal
3. Foley has been removed, but pt unable to void after 8 hrs (hospital policy).
We'd tried everything, water running, hand in water, OJ w/sugar, you know the usual stuff.
The agency LVN working with me said that the last place she worked, there was an order to given Narcan IVP to help pt's void. She also was told to make sure the patient was sitting on the toilet because it works right away. Unfortunately, she wasn't sure of the dose.
The poor patient was just miserable and I was very reluctant to I & O cath her (she stated she did not want another cath). I happened to notice her scratching her arm and asked her if she was itching. She said yes. I checked anesthesia orders and there was an order for 0.1 mg Narcan IVP for itching. So, I gave her the Narcan. I wasn't 2 steps out of the BR and the patient yelled out "it worked!". I stepped back into the BR and she was voiding. In fact, after a couple of minutes, she complained because she couldn't stop.
Has anyone ever heard of this? Is there research on it somewhere?
Thanks for your help on this.