Interesting thread. I appreciate the many atriculate and thoughtful comments. I absolutely do not think we should pander to our patients and their biases. I've had patients who are racist, too - and...
Same problems here in rural Washington state - I work at a public hospital, where all the addicts go when 1) they can't score any more drugs and realize they are sick and/or 2) they try to kill...
In my facility, we don't always have aides if the census is low, so we to total patient care alone on those days. I had a patient just this week assume I was an aide becuase I was changing her bed and...
mellomom replied to firstyearstudent's topic in General Nursing
This is such an interesting thread. I have seen these end-of-life pts die a long agonizing death like most of you. The worst was a 90 + yo with multiple medical prob who developed an ileus with end...
mellomom replied to HappyNurse2005's topic in General Nursing
I've read my own chart too... while in the room, waiting for the ARNP who was called out for an emergency. While she was "suprised" I didn't feel she was angry. I discovered she had a horrible...
Well, I'm (sort of) glad to know the same crap happens someplace other than my facility.... The pain thing makes me crazy, we have alot of orthos and I can't count the times I have started the shift...
We also have the lopresor 5 mg q 5 min x 3 protocol at our hospital, but I've learned to watch those vitals carefully (in addition to having tele on)... The drop in BP can be very rapid, so i do...
So does narcan always cause the delirium I saw? It seems when we've given it before, it just wakes folks up (and increases their pain...) but this was so violent... we were wondering if psych hx or...
clee, I had to laugh at your post. I've noticed I can tell the addicts by how they respond to ivp narcs - the addicts looove the rush, and everyone else is mad and wants the next dose slower!!
Thank you so much! For awhile I thought I'd killed her! Apparently she told the doc/her family that she was "weaning off everything" when in reality she was not only taking her own med but her dead...
Hello everyone! I am new to this site, and wanted to get feedback on narcan use from other people. Gave some ivp the other day for post surgery respiratory depression