Nursingmypride

What do you mean there is no order to stack pain meds that way? If the pt has both meds ordered then they are fine to give as long as you are not giving the tramadol and oxy together, wait at least an hr in between since they are both narcs. I agree with the nurse who gave the Motrin and then the Tylenol after an hour. If the pt has no relief from the Motrin then the Tylenol was also ordered for pain. The only reason you would wait 4 hours after giving the Motrin to give the Tylenol is if the Tylenol was also an NSAID which it is not. So therefore it is OK to give. We do it this way all the time at my hospital. If the pt has both orders they were meant to be stacked IMO otherwise the provider wouldn’t have put both orders in.

Yeah my unit has at least 50% travelers. It’s probably going to be increasingly the norm seeing how travelers make so much more money than regular staff.

I have the exact same thing! I’ve been working for about 10 months and have lost 10 lbs just from stress and anxiety, mostly because I would feel nauseous on the days I worked. I was also slim to begin with, 5’ 3” and now 110. Definitely go see your doctor. I did and she prescribed Atarax PRN. Haven’t gained it back yet but she didn’t seem very concerned.

I think the answer is A.