Quote from inteRN
I didnt know this till yesterday, but the Dr. ordered a "peripheral smear" on a patient (i could be wrong) who was in for sickle cell pain. We dont normally order it, but on this particular patient she did because their was question due to her history if she even had sickle cell. Apparently all her labs were normal and she came back negative for any sickleling cells (sp?)
Oh, well if she doesn't have any sickled cells, she most likely doesn't have it. It is possible for someone with sickle cell trait to have pain, but that would involve rapidly entering high altitudes or extreme dehydration, but there would be sickled cells present in the blood if that were to happen. I guess she would be a drug seeker, possibly, then.
That's even worse than people ignoring a true sickle cell patient's pain. To pretend to have it to get pain meds is evil! As far as the benadryl goes, I looked it up in epocrates, and it does potentiate narcotics, so it would, indeed give the patient more pain relief, but I can't imagine it giving a high to anyone, unless they think feeling high is like having a bad hangover. I never could understand how anyone would want to get high on narcotics. They make me feel absolutely awful, so I avoid them. But that's just me, I guess.