BrandieRNq

CONSIDER THE REGLAN!!! Do a search on this board regarding Reglan and I think you will read descriptions that describe your pt.!!! Once you stop the Reglan, it takes a bit to get it out of the system but the difference once off can be night and day.

I would like to say that my experience sounds much like hers as far as conscious sedation goes...I cried and cried for a long time...someone came in a short time later to explain "you might cry for no reason". This was appr. 7 years ago before I knew the difference between drugs...I am curious to know which one caused it. Also, I am VERY sensitive to meds, I am wondering if your daughter is the same. I just remember it being such an unexpected, strange reaction! (same as your daughter, no pain or discomfort, really unable to explain the reason for crying!) I recall me mom asking me again and again what was wrong...my answer was always a weeping "nothing"!

Since we are talking about it...I would be interested in seeing this, can someone give/send a website to me where I can view it?

Give me a break!! Whoever thought up this idea probably started with their kids' home nebulizer.

Latex allergies can occur no matter how long you have been using latex gloves. In fact, according to our clinical coordinator, the longer you wear them (in terms of years) the bigger the chance you will develop one later. Request and wear latex-free, powder free gloves for a week....then you will know for sure. Your hospital has to provide them if you ask. You'll probably have to keep several in your scrub pockets so that you have easy access to them no matter what!! For a whole week!!!

Interesting situation.... Think of how many times you say to yourself/co-workers..."It's Dr. whoever, he won't care" or "I know the pt. a thousand times better than his/this MD on call Dr.!" Often times we do know our pt.'s better. In fact we may be calling in the middle of the night to speak to someone who has never even laid eyes on the patient. Therefore, the night MD probably having little to no knowledge regarding the pt. It is the nurse who has the insight, the "clue", the idea of "what the pt. really needs". It's been my experience that the standard 2 am response by the MD when asked for something is "yeah, sure..." Requiring the nurse to then wake them up further during the phone call to specify route, dose, frequency. I am not condoning the actions of these nurses, I would never have done what they did. However, it's interesting to consider where you draw the line...everyone has a different philosophy of what you might do when you "are sure that's what the pt. needs". Would you give Tylenol to someone with a headache who requests it even though you are unable to get an order due to lack of responce from the MD? Would you give the Tylenol at 1 am without an order for the same headache? What about Mylanta, Ibuprofen, any other drug that seems harmless but helps your pt. in the middle of the night? FOOD FOR THOUGHT!

I have had the surgery and am VERY pleased...it changes your life. I have 20/20 vision both eyes now. I can SEE my legs in the shower to shave! I can see the alarm clock time when I wake up in the middle of the night. I can watch TV and SEE it as I'm falling asleep (without glasses on!! ha ha! (don't miss that, too many broken pairs!)) I can see the tele monitors at work sitting at the nurses station 15 feet away (and tell you the rhythm!) Absolutely incredible in my opinion. I can sit in the sun and see the incredible world without a serious eyeglass "glare". The procedure was not bad, recovery was easy...the worst part is the multiple eye doc visits post op...1 day after, 1 month after, 3 months after...etc. DO IT!!! You won't be sorry...I would have paid 4 times what I had to to have it done.

What you described is EXACTLY how I felt (complete with the tongue movements) after taking my 3rd dose of REGLAN. MD prescribed it to increase gastric emptying. I was completely miserable, the only way to get rid of it was to let the Reglan get out of my system. I feel incredibly bad for your patient...it is one of the worst feelings I have ever experienced. STOP THE REGLAN! This happened about 2 months ago. Let me know if you have other questions...I hope this helps.

EEEEEWWWWWWWWW!! Smelly! I couldn't imagine.

Thank you!! Don't keep me in suspense!! What about afterload and contractility????

Question: What would you do in this situation? I came on shift and was reviewing am vitals. Mrs. A had b/p of 178/106. Went to assess her, no other acute signs, no HA, visual disturbance, etc. HR, RR normal, no pain or any other distress... Reviewed her meds...still searching for a reason...just about to call the Doc when something tells me to check out the Clonidine patch to her chest. I peeled of the white "covering" to the patch and what do you know, there is no Clonidine patch! The nurse who applied the patch 3 days earlier clearly did not realize that the white "cover" is not the medicine (despite the fact that it is clearly written on the label). I immediately applied the dosage, rechecked the b/p 1 hour later with a result of 140/88. What would you have done regarding the nurse who made the mistake?

I work with these types of patients...usually 1 every couple of months. Our facility is also a place where life support is terminated. (Start MSO4 and Ativan gtts and stop ventilator support) It is an amazing process patients and families go thru. Sometimes the patient is pretty much out of it or confused and their family feels this is not how they would want to live so they make the decision. However, the patient is sometimes very aware of their choices and is making a clear decision, fully knowing what the consequence is. They make plans to say goodbye...(waiting for all family from far away to get there) I feel so honored to be a part of this process...I can't even say in words here how it effects you.

TNJ...Lupron?

We are having a "dispute" of sorts at our small hospital. For the longest time, we have not had a policy that 2 nurses had to verify amount/type of drawn up Insulin and Heparin. Many people think it's "old school" and not done any more while others think it is still a standard of care. We do not have a specific written policy although are working on one. What do you think? What is the policy at your hospital? Any comments would be much appreciated.

GOOD POINT...If they have been stable forever this is the time they will seize...their bodies/minds/souls are stressed.