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Discussion

Post Adenosine Administration

Currently an ER nurse. I had a patient recently come in with SVT. We immediately did SVT conversion with Adenosine IV. Post administration patient felt OK and EKG showed NSR, but she immediately needed to pee.
 

My question is:  Would you feel comfortable with letting her ambulate to the bathroom across the hall or would you prefer her to use a bedpan?

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Was she relatively stable while she was in SVT?


Probably bedpan, but you could split the difference and assist her to a bedside.

Lots of things to consider. Was she symptomatic on arrival? Did all symptoms resolve? Does she have a history of falls or syncopal events? If the patient didn't feel strongly I might recommend a bedpan until we know whether she might go back into SVT and how steady she was to ambulate. But not everyone is comfortable using a bedpan, assuming you have a nurse or tech to ambulate with the patient, I might be willing to let her walk to the bathroom while monitored.  

Can she stand up? Steady on her feet? Able to walk? Don't know why the considerations for using the BR are different for her than any other patient on the unit...

Purewick!  Granted not everyone goes for them but when they do they're awesome, don't have to do bedpan and don't have to ambulate the pt. 

Asdf said:

Purewick!

Those things are soooooo disgusting. It is just terrible to ask someone to urinate on themselves. When they pee, unless it is a slow and low, there is leakage, but since they have the bananna between their legs, nobody checks beneath. And the amount of times I found them covering the orifice, and often with that effluent travelling up the canal.

Bedpan.

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