Nurses General Nursing
Published Jan 24, 2005
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
FNimuaeMae
125 Posts
Ativan for pain...not good thing!
Ativan for nausea... can be good thing when nothing else is working.
Ativan for someone in DT's... VERY GOOD THING!
Had a guy recently on an ativan drip... 24 mg/ hr.... if you decreased it at all he was awake and moving around... not good for someone on a vent!
Missy
Spazzy Nurse, RN
499 Posts
Breast Men
I am still peein' my pants over this one.
begalli
1,277 Posts
I was told "he does not like narcotics". He only orders Ativan for PAIN and Tylenol extra strength, for post mastectectomy and lumpectomy pain. He belives that women in pain are just hysterical because breast surgery shouldn't hurt THAT bad. Just sedate those with female organs I always say!
He belives that women in pain are just hysterical because breast surgery shouldn't hurt THAT bad. Just sedate those with female organs I always say!
Those orders need to be seriously questioned. No narcs ordered for post-op patients!?! That's really unacceptable.
Make sure his orders are lying around next time JCAHO visits.
jaimealmostRN
491 Posts
I'm sorry, but I don't understand. The patient was a "breast man" who was lactating and the Dr. wrote a not very clear order for ativan (I know it shouldn't usually be used PRN)? As a new grad I could be completely wrong, but I don't understand the problem...besides that website eek!
Oops sorry, I just saw the explanation! Yuck, can you consult with the charge nurse or ethics commitee re the no-narcs issue? During our onc. rotation some of the breast surgeries had PCAs and at the VERY least they had percocets. That is definatly a very inappropriate order, and anyone who thinks women are "hysterical" probably shouldn't even be working with the female population...that reminds me of that movie, "Road to Wellville". Very funny.
I'm sorry, but I don't understand. The patient was a "breast man" who was lactating and the Dr. wrote a not very clear order for ativan?
LOL!! Thanks for the laugh! :rotfl:
KarafromPhilly
212 Posts
Oh my gosh you guys! What I meant was this guy is one the the "older"(like 75)and more well known breast surgeons in our area. He is new to our hospital because another near us closed down(Again). I don't really know why some of you are so sensetive about the use of the term. His orders are PREPRINTED and he never changes them. I was told "he does not like narcotics". He only orders Ativan for PAIN and Tylenol extra strength, for post mastectectomy and lumpectomy pain. Sheesh :chair:He belives that women in pain are just hysterical because breast surgery shouldn't hurt THAT bad. Just sedate those with female organs I always say!
Sheesh :chair:
Two words: ethics committee.