motrin for c section pain

  1. Hello. I had a c section on Tuesday at 10am and just want to rant about my hospital stay. I know they tell you to walk ,but the tried to get me to walk 21 hrs after, and I had great pain. They said" I know you are in pain but you still have to walk. They medicated me with percocet 325mg but it was not enough. I also started to spike a low grade fever of. 99.9-102.8 and pulse 129 and had chills and sweating. I told them and they said doc says u have to drink more and walk more. I asked an intern about a urinalysis and he say for what?Also, the nurse refused to give me percocet b/c she said its making me not have a bm(I am passing gas) instead gave me motrin 600mg. I was in tears. Lastly, I want to complain about a clinical instructor. They gave me an iv of ns and it had a lot of air bubbles in it. I pointed it out to her and she just waved her hand at me like whatever. I never told anybody I was a nurse just so I could avoid this behavior but now I wonder if I should have. Thanx for reading, any input would be more then welcome welcome
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    About smartnurse1982, RN

    Joined: Jun '08; Posts: 1,786; Likes: 1,307

    16 Comments

  3. by   Be_Moore
    Bummer on the pain control, that sucks. But I wonder...why did you think you needed a UA? Running a fever/tachy post-operative is not abnormal. It's your bodies attempt to fight off infection at the site. The other thing is that air bubbles aren't really an issue. It takes a large air bolus to cause an air embolus, unless you have an AV malformation of some sort...and even then, the test to check for an AV malformation is to visualize injected air bubbles with US.

    But that sucks they wouldn't control your pain.
  4. by   greeniebean
    I recieved Percocet after both my c-sections but it never helped my pain! I was told to walk so I tried to at least 3 times a day. My nurses didn't even empty my cathater! And it was left in for 3 days after delivery! My cousin had to empty it. They actually told me I drank to much and that they couldn't be expected to empty it every few hours, they were to busy!
    Sorry about your rotten expirience!
  5. by   summerrose_10
    First, CONGRATULATIONS!!!!!!!!!!!!!!!!!! I'm assuming the outcome was good (healthy baby?) I'm with Be_moore, pain control is vital for good outcomes., bummer your nurse was "stingy" on the narcs. She must have forgotten that pain is what the patient says it is.
    As we can not give medical advice here I will share my experience. I too had C-sec. The first one unplanned, medicated with tylenol only, it was a horrible experience. Like you, "forced" to walk, drink etc. In my case, (it was pre strep-b screening), so ... I did have major infection; no one knew until after placing me in a cold shower at 3am and me begging/pleading, for warm blankets, they then realized I wasn't being a "baby", I didn't need to just drink/walk, I really was sick. The second C-sec, went as PLANNED (premed. for colonized strep B), had excellent pain control, not one of the nurses hesitated to get me a pain pill when asked. It was a great experience.
    Sorry you had such a bad experience, hope you learn from it (ie.give your pts good pain control) and focus on the outcome of the whole experience. ie. one special little being:heartbeat
  6. by   Schmoo1022
    I am sorry about your pain control issues. It is hard to take care of your little one when you are not comfortable. I had great relief from Motrin for the c-section pain, I never needed anything stronger. I did have serious issue with upper back and shoulder pain. I don't know if it was the way I was laying in bed or what. I had great nurses who were always asking about my pain level. The one complaint is it was so hard to get the baby out of the tram without pulling on my incision!!
  7. by   LuvofNursing
    Quote from Be_Moore
    Bummer on the pain control, that sucks. But I wonder...why did you think you needed a UA? Running a fever/tachy post-operative is not abnormal. It's your bodies attempt to fight off infection at the site. The other thing is that air bubbles aren't really an issue. It takes a large air bolus to cause an air embolus, unless you have an AV malformation of some sort...and even then, the test to check for an AV malformation is to visualize injected air bubbles with US.

    But that sucks they wouldn't control your pain.
    I think the bigger issue here is.....nobody would acknowledge your concerns. I don't care how minor the concern is, those who work in this line of work need to remember that it is never normal to be in a hospital. You may be anxious, sad, scared, and even if you are [I]just fine[I], one should always make an effort to remember that although WE are in the hospital dealing with these things everyday, others are not.

    A better response to the bubble thing would be to explain the amount of air that would be concerning....or....tap the large bubbles to a port and suck em out with a syringe. it does make me nervous that an "instructor" is not making more of an effort. What type of example is that?
    As far as pain goes, it is one of the most common nursing diagnoses for OB. Not all patients respond the same to pain meds, so it is important to find what works for them.

    Remember why you joined this profession and if it wasn't for the helping/caring aspect, you may need to reevaluate.
  8. by   roseglasses
    i was totally different with my c-section. As soon as i got to the floor (had an hour in recovery) i wanted my iv and cath out. The nurses made me wait 8 hours because I was not supposed to get up for the first 8 hours. As soon as the 8th hour hit they came and removed everything that was holding me to the bed. I got up walking and everyone was commenting on how i needed to come teach other patients. i only stayed in the hospital 1 day after the c-section. I knew my hubby had to go back to work in a few days so i had to do it myself. i did get Tylenol 3 for pain and as long as i stayed ahead i was good. I have a high tresh hold for pain! Congrats on the new baby!
  9. by   LuvofNursing
    Quote from mrsanderton2205
    i was totally different with my c-section. As soon as i got to the floor (had an hour in recovery) i wanted my iv and cath out. The nurses made me wait 8 hours because I was not supposed to get up for the first 8 hours. As soon as the 8th hour hit they came and removed everything that was holding me to the bed. I got up walking and everyone was commenting on how i needed to come teach other patients. i only stayed in the hospital 1 day after the c-section. I knew my hubby had to go back to work in a few days so i had to do it myself. i did get Tylenol 3 for pain and as long as i stayed ahead i was good. I have a high tresh hold for pain! Congrats on the new baby!
    I think this is exactly the point....everybody's pain level is different, it is important to understand this in order to provide appropriate care.
  10. by   roseglasses
    Oh i totally agree Luv i was just telling my experience
  11. by   rn/writer
    I'm so sorry you had such a bad experience. On the unit where I work, section patients come to us on a PCA with hydromorphone (Dilaudid), or occasionally they are on Duramorph. In addition to the narcotic meds, they also get Toradol q 6 hours. After approximately 24 hours, we trade the PCA for Percocets and the Toradol for ibuprofen.

    A few patients come off the PCA early because the Dilaudid doesn't give them good relief. We switch them to Percocets, and most do well. A rare few need Vicodin or some other choice. But they all still get Toradol or ibuprofen unless they are allergic.

    The narcs address the incisional pain, while the NSAIDs give relief for cramping and decrease inflammation. The combination is what seems to do the trick.

    I shudder to think of treating a fresh section with only an NSAID. For most of my patients, this would not be even close to adequate.

    Please, write a letter to the unit manager and the DON at the hospital where you stayed. It would be good to find out what was actually prescribed vs. what was given. It could be that meds were ordered PRN but not administered. Either way, your pain was not managed properly.

    I hope all went well with the baby. I'm just sorry that your hospital stay was so unpleasant.
    Last edit by rn/writer on Jun 25, '09
  12. by   SlightlyMental_RN
    Congrats! Sorry to hear that your pain control wasn't adequate. I actually chose ibuprofen post-section, as I was super-paranoid about anything passing through in my breast milk. But then, I also dragged my butt out of bed and insisted that my daughter room with me. (You know the first-time mom type: I'm going to do this the "right" way, even if it kills me.) :chuckle
  13. by   Erindel RN
    Well one good thing came out of this.... a wonderful child! Congrats. I agree u should put something in writing to the unit nurse manager and let them know of your dissatisfaction. You atleast deserve to know why u were treated that way. I had a csection 8 years ago and I was on a pca of morphine for atleast the first day after, then treated with percs after. I was discharged 4 days after she was born. But.... I hope u are feeling better now as each day passes and goodluck with the littleone.
  14. by   mykidzmom
    congratulations on the birth of your child!!!!!! i had a great experience with my c-section, and i can't help but think about it with your post, but that isn't really what you want to hear, is it? altho i WANTED to keep it a secret that i was a nurse, right from my pre-op registration, to holding re-surgery to surgery to post op to every aid and RN i had, the first freakin thing out of their mouth was "so you're a nurse!" it was a little embarrassing because i wanted to be a "good" patient and face it, we hate having nurses as patients (not as much as having patients with nurses as family members but that is another thread...).

    it is so disturbing to read your post for so many reasons. what you wrote says so much about nursing. why were your needs dismissed? how many of us consider ourselves good, caring nurses and would never think we acted that way but had our actions or words misinterpreted? i am in no way excusing your treatment, but what if the instructor who dismissed your concern about the IV believed by waving off your concern believed by acting nonchalant about it thought that it would be reassuring to you if you knew SHE wan't worried. you know how patients pick up on our reactions--if they think we are worried then they worry. or maybe the nurse who only gave you tylenol was afraid of the narc getting thru your breast milk or had some crazy fear of getting you addicted. i don't know. i don't even believe my own words here, but i do think that people often mean to convey one message and a different one is received. i guess i am hoping that their intentions were good, but it came out wrong.

    it could be that they just sucked. and if they sucked--why? there is no excuse, and i am sorry about your experience, but i would still want to know why it sucked. morale? out-dated beliefs on pain control? did a patient recently get overmedicated and everyone is freaked out now? stingy MD? why in the world they didn't give you toradol is beyond me. i have what i would consider an average to maybe below average pain thresh hold and i got 'round the clock toradol with the occasional vicodan.

    i think as a fellow professional, it is your OBLIGATION to us to write a letter. it should be sent to the Chief Nursing Officer or whoever is head honcho of all nurses (probably not the CEO). i would recommend wording the letter in a way that doesn't make you sound like a whiney patient or a bitter nurse. of course, you should represent yourself as BOTH, but if the letter was worded less like a complaint and more like a paper you'd write for school or a magazine article, i think you would have the biggest impact. talk about the importance of pain management especially in the early post partum period. use your experience to illustrate. the need to explain rationale appropriately to patients as a way to calm there fears--be it the reason a u/a wasn't necessary (your symptoms sound like they could have been normal post op effects, but if that was explained to you i think you would have totally been fine with that) or why the air bubbles you saw were harmless. by the same token, you could offer that along with the education, allowing the patient a little control over things goes a long way to keeping a patient happy. the nurse could explain why the air bubbles were harmless, while flicking or drawing then out. if you had asked me about your symptoms and requested a u/a i wouldn't disrespect myself or my profession by just saying "derrrr, i guess i'll ask duh doctor" i would however, make it win-win. i would teach you what you needed to know, but leave the u/a cup in your room and say, i will mention it to dr. k and just in case dr. knowitall decides to go ahead and do a u/a you will have the cup right there and we can send it right in. you get to be the smarty pants, the patient gets to have control over a situation and the doc can ride in on her write horse and save the day with the order. basically you need to unemotionally state the problem, why it is a problem (evidence based practice, supporting research, standard of care, human decency) and what would be an appropriate solution.
    again, i am so sorry for your experience. i suspect it was extra bad for you because you knew you would't ever treat anyone like that and didn't expect it for yourself! you will never regret speaking your mind. you might regret NOT speaking it.....good luck mamma!

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