Another pain thread

Specialties Pain

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Reading the various threads on pain control etc, I always have had a beef with this: When we sedate for a procedure(Versed,or whatever)and the patient has pain, like during a colonoscopy or line insertion, do we give them pain control or amnesia meds. I vote for pain relief. Just because they don't REMEMBER, dos not mean they are not in pain. Does a circumcision hurt...I bet it does.But ask any grown man if he remebers it hurting. Of course not. But just because you don't remeber, is it o.k?

I just wondered this for some time. I think it isn't right to sedate without adequate pain meds simultaneously (Unless the pt has a general)

I have found (as a recovery nurse, I get them after the drug is given), that Ketamine is great for young kids, but horrid with adults. Adults act really goofy and have all kinds of hallucinations. We have to keep them in the dark and quiet (difficult in a busy PACU!). Ketamine is not used much in my hopital, but Versed sure is. I can always use Romazicon to reverse Versed quickly, but I don't know how to reverse the craziness of Ketamine...

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Please just remember that you can titrate Narcan during the procedure, definitely no need to jolt the pt. completely with viscious return of pain.

I am new to all of this but thought I would share that reminder. It disgusts me that there are docs who perform painful procedures on pts. without including adequate analgesia. If no narcs are the goal, then how about parenteral ketorolac??? I think we are seeing way too much dependence on causing (and relying on) amnesia in our patients. Just my not-so-humble opinion. As a newbie, I should probably tone my expression down but this subject is a biggie for me :rolleyes:

Kristin

Waiting for Feb. graduation!!!

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I just realized that the placement of my prior post might make you think I meant Narcan for Ketamine or Versed reversal... nope. Meant to refer to earlier posts where using Narcan was mentioned. Thanks!

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