pt. today is post ankle fusion, hx of djd/oa. woke up with left arm pain. xray of elbow, forearm and wrist negative. not real sure of whats going on, but thats not my question. what i want to know is your opinion of this - pt had previously been confused at times - not aggressive or trying to get out of bed, but saying off the wall comments. so the dr. at that time decreased percocet and tegretol dose, has since been more clear - still says weird , random stuff , has a strange sense of humor so hard to determine what he is serious about , due to the extreme pain he is c/o the dr wrote for morphine 2mg im q 2hrs as needed, lpn - primary nurse- this is team nursing felt this was inappropriate due to previous confusion - that we are unsure of the cause but possibly percocet. she felt motrin was a better choice. barely touching that man caused extreme pain that his now 1 percocet was not even touching. i feel like since we don't know if it was percocet, tegretol, or something else, that we should at least try the morpine. just because percocet makes someone confused doesn't necessarily mean morpine will and he still deserves pain control untill ortho consult tomorrow and the origin of this pain is determined and fixed. what do you think?
If he's not violent or dangerous when he's delusional where is the problem?
I'd rather be bat crap crazy seeing dancing elephants on the walls than put up with post operation pain on motrin.
Being in extreme pain slows time down, 15 minutes seems like an hour. Your team really should be following what the Doctor recommends, instead of playing Doctor.
LA_StudentNurse
142 Posts
His O2 sats and h/h were WNL?