Overdoses...

sanakruz, ADN · May 14, 2003

Heres the site to which I refer

http://www.erowid.org

Its FULL of misinformation.I recommend ER and Psych nurses alike get familiar with what it is people will do for a HIGH:eek:

wishingmary · May 15, 2003

I work as an aide in the MICU and we get a lot of OD's. I agree with Nurse Ratched. We had a patient who got 7 rounds of mucomyst. You could smell it all the way out of the unit, down the hall to the elevators. It is truly horrid stuff but I don't think there is anything worse that a person could OD on that is an over the counter. Lots of Cocaine OD and they all look the same; emaciated with these little reddish dots all over them, not petechia but something else. They all have Hepatitis C and wear wild tattoos. In fact, if I see a young patient with tattoos, so far they have all had Hepatitis C. I know alot of people wear them, even nurses with their tongues pierced but I guess I'm getting off the subject. What will you see I guess depends on where you go. I love the MICU. Everything you learn in nursing school is there in neon lights only more than you will ever learn in nursing school. I'll be graduating in December, 2003 and then on to boards. The sickest I see are those in multiple organ failure, pancreatitis, TB, peritonitis, and brain stem injuries. Lots of older diabetics suffering the horrids of that disease.

Zee_RN, BSN, RN · May 15, 2003

Tylenol in its many forms seems to be the favorite---plain acetaminophen, Darvocet, Percocet, etc. A few benadryls. Tricyclics are another favorite--and potentially lethal. Sleepers like Ambien and Restoril too. Any of the antidepressants. And then there's the combination ODs....they just took everything in the medicine chest. Amazes me how these young people (most of them are between 18 and 45) have so much medication in their homes! I have nothing here personally (well, unless I want to OD on my husband's lipitor!).

Mucomyst for Tylenol OD's is always fun. Smells like perm solution to me. It is also amazing how these people who wanted to DIE a couple of hours ago are now complaining about the food, the blankets, the monitors, etc. Just can't wait to turf them to psych when they are done with their 24-hour monitoring. (Every once in a while we do get a realllllly serious attempt and that's a whole different issue; more compassion *does* kick in. I just get really annoyed with those who just wanted to get their boyfriend/girlfriend/mom/dad's attention with a dozen Tylenol--who then sit and complain all day about the restrictions of the ICU. I always want to sit down with them and explain the restrictions of a COFFIN.)

ShortFuse_LPN, LPN · May 15, 2003

Boy, I must be naive or working in LTC has sheltered me!:imbar

I really never thought that someone would OD on Tylenol! :confused:

sanakruz, ADN · May 15, 2003

Zee-

I think talking about the potential consequences of such behavior to an S/P OD patient is an appropriate nursing intervention.

I have always been a fan of reality theray.

mattsmom81 · May 15, 2003

And then we get the antifreeze drinkers...uggh.

One of our ER nurses threatens to write a book entitled" Suicide: How to get it right the first time." and send it anonymously to our frequent flyer OD's.

I know, I know...sick warped nurse humor. We all sure do tire of the attention seekers don't we. I can relate to all the above stories.

Those who REALLY want to do themselves in eventually find a way, I've discovered

I feel so sorry for these persons' families/close friends...if one truly does not want to live I guess I can accept that feeling; but what that does to loved ones is horrid. The guilt and pain are immeasurable. It especially tears my heart out seeing mothers and fathers watch their children destroying themselves... slowly or quickly it's pure torture. It's gutwrenching for me to try to comfort these parents.

petiteflower · May 15, 2003

I visited the site to which sanakruz referred-----omg!!!!

THAT IS SO SCARY!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

sanakruz, ADN · May 15, 2003

Aint it ,tho, petite!!!! Can you imagine....

MelRN13 · May 16, 2003

Originally posted by Nurse Ratched
I love it when we have to give mucomyst for acetaminophen od's. Before I am branded cruel, one has to understand that the vast majority of them are young people (18-22 or so) who had some stupid romantic notion about a boyfriend rushing back to them when they found out about the attempt, or a way to temporarily get them out of desperate academic straits. The pt always carries on about the horrible smell and the worse taste. But by then they have settled on living and don't dare not drink it for fear of killing their liver. Apparently it also can be given IV, but I've never seen it done (I think the sensory experience is part of the don't-do-this-again therapy.)

We get those same kind of patients! We've found that if you mix mucomyst with Coke, they seem to drink it better. But man, does that stuff reek!

ageless · May 16, 2003

let's not leave out the treatment for lithium toxicity..... hours and hours of dialysis

zudy · May 16, 2003

too true, ageless! I use to threaten to take my OD's on a tour of our dialysis unit. I've seen lots of Tylenol OD's, benadryl, actually a few antibiotics( from when people wouldn't finish thier RX, then try to OD on it later)

We see lots of crystal meth now. I hate that stuff! I had one pt shoot it up then come to ED "My heart is racing" Well,REALLY! Tied up one of cardiac rooms all shift.

pkmom · May 16, 2003

In clinicals recently a fellow student had a pt who had OD on only God knows what. She was so out of it, had to have a sitter in their all day. Her boyfriend kept bringing food and things in, saying she needed her "iron pills" I don't know how long it took them to figure it out.