How about this for an order?

  1. This may just be my naivete or age showing but I saw a prn order from an old "breast man" that read verbatim "Ativan 1 mg p.o q 4-6hrs prn pain".
    Yuck :angryfire
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    About sharann

    Joined: Feb '01; Posts: 1,840; Likes: 217
    RN

    70 Comments

  3. by   SmilingBluEyes
    ativan???? hmmmmmmmmmmmmmmmmmmmmmmmmmm
  4. by   Mystery5
    Quote from sharann
    This may just be my naivete or age showing but I saw a prn order from an old "breast man" that read verbatim "Ativan 1 mg p.o q 4-6hrs prn pain".
    Yuck :angryfire
    Best to leave a note on the front of the chart for clarification, or call him. What is an old 'breast man' btw?
  5. by   *PICURN*
    MD's aren't allowed to write "q4-6 hrs" they had to SPECIFY like "q4 hrs" or "q6 hrs"......at least thats the new policy @ my hospital
  6. by   Mystery5
    Quote from *PICURN*
    MD's aren't allowed to write "q4-6 hrs" they had to SPECIFY like "q4 hrs" or "q6 hrs"......at least thats the new policy @ my hospital
    They do that all the time where I work. It's just so silly. I mean, why not make it every 4 hours, since that is the minimum time you can have bettween doses. I always thought that was nonsensical.
  7. by   unknown99
    Ativan is used for pain at times because of the calming effect which allows the client to relax enough so that the pain eases. I have seen this done in the past several years; mostly with cancer and abdominal diseases.
  8. by   Spidey's mom
    Quote from sagarcia210
    Ativan is used for pain at times because of the calming effect which allows the client to relax enough so that the pain eases. I have seen this done in the past several years; mostly with cancer and abdominal diseases.
    Me too (seen Ativan used for pain) - I was trying to figure out what the problem was.

    And me too - what is an "old breast man" and what does that have to do with Ativan. :chuckle

    Breast men come in all shapes, sizes and ages.

    Thank God not my dear husband . . after 4 kids . .well . . .

    steph
  9. by   begalli
    I've seen ativan ordered for agitation, anxiety, restlessness, but I've never seen ativan ordered for pain.

    I can see it being an adjuvant to a pain med, but on it's own does it really work? Are they really relaxed and do patients experience less pain or are they just sedated?
    Last edit by begalli on Jan 24, '05
  10. by   Spidey's mom
    Quote from begalli
    I've seen ativan ordered for agitation, anxiety, restlessness, but I've never seen ativan ordered for pain.

    I can see it being an adjunct to a pain med, but on it's own does it really work? Are they really relaxed and do patients experience less pain or are they just sedated?
    Well, one of the methods used in biofeedback is to lessen anxiety and therefore lessen pain. Also Lamaze classes - breathing techniques to relax you so you can handle the pain better (of course they lie in Lamaze class

    steph
  11. by   begalli
  12. by   RN4NICU
    Quote from Mystery5
    They do that all the time where I work. It's just so silly. I mean, why not make it every 4 hours, since that is the minimum time you can have bettween doses. I always thought that was nonsensical.
    I agree the order doesn't make a whole lot of sense, but I see it all the time as well. One possibility is that if you haven't given the med in 6 hours, you may want to check on the patient (check VS, pain scale if applicable, etc) so that the drug does not get all the way out of the system, which makes it harder to get a handle on the pain again when it jumps up to being a 9/10 with nothing on board.
  13. by   Fgr8Out
    Quote from Mystery5
    They do that all the time where I work. It's just so silly. I mean, why not make it every 4 hours, since that is the minimum time you can have bettween doses. I always thought that was nonsensical.
    I believe it's used as an adjuvant, as previously stated by others.
    Last edit by Fgr8Out on Jan 24, '05
  14. by   Dixielee
    I guess I don't understand what the big deal is. It could be as simple as he had a brain fart and meant to write for agitation, sleep or whatever. One of our ER docs recently wrote an order that read, Lortab 1 Gm. IV. I don't know where his head was, but when I pointed it out to him, he shook his head and laughed. We all make mistakes, and sometimes it comes out in our charting. Back before e mail, I worked with a male RN who had a girlfriend in another state and they wrote a lot of letters, many of them written on progress notes when he was not busy at work. On one of his charts on night, he signed off his notes with...Love, John. Only the next day, did someone point it out to him, and he nearly died of embarassment. We see wierd stuff written on charts all the time, and sometimes it is mine!

    BTW, my hubby is an old breast man and I wouldn't have it any other way!

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