pain management in infants with chest tubes

[dopeyrn]

How do you manage pain in infants with chest tubes? I have an infant on nasal cannula now, after being vented, but has had a chest tube for four days now. We gave fentanyl prn when intubated, but now when asked for some kind of pain medication the physician, the physicians say baby is irritable because he is hungry. I agree tha's part of it, but I think pain is a big part of it.

[NeoNurseTX, RN]

elizabells, here's a link to a site that describes the pain infants go through during and after circumcision. i'd highlight the pertinent parts, and post it in the mds lounge or conference room, complete with photos. there's also

a video associated with the site.

[color=#0000a0]http://www.circumcisionquotes.com/index20.html

what neanderthals some mds are. hey, doc, let me slice a piece of your finger off (i doubt they'd let me slice what i truly wished to do); pour a dab of alcohol on it (urine touching a newly circumcised member), and when you curse me out for what i did, i'll just offer you a cheeseburger.

what (little) they give kids for circs amazes me.

[Sweeper933]

Holy **** (insert choice word here) Elizabells.... I can't believe that you had to fight so hard for TYLENOL. When we put the orders for a circ in, part of the orderset is for tylenol q8 prn for up to 48 hours. It automatically gets ordered. It's hard to believe that even getting hit hard by JACHO hasn't started some change for the better. Maybe it's time to go to hospital management about this problem - somewhere higher up than your unit manager.

[elizabells, BSN, RN]

It's hard to believe that even getting hit hard by JACHO hasn't started some change for the better.

Well, we do have a new TEN PAGE flowsheet for PCAs and drips... that'll fix everything!

[Sweeper933]

Well, we do have a new TEN PAGE flowsheet for PCAs and drips... that'll fix everything!

ha...