Dave ARNP replied to kevro1013's topic in Emergency
Fentanyl is a poor choice treating pain over the course of more than a few minutes. It's sedative effects will remain, but the pain control doesn't. Fentanyl is best given to bring a pain crisis...
Wow Speculating... I wasn't aware that there was a place where you couldn't call in V-III. Can refills still be written on the V-III's? As far as moving Hydrocodone up to a II, what in the world...
She does use the new Mirena. From what I hear, she's very pleased with its results. Is it superior to the old Copperguard? That's still out for debate. But so far the Mirena has gotten no...
I have never understood the "punishment" for imparied physicians. In my state, if a physican is shown to have a drug/alcohol problem, they are referred into a program for impaired physicians....
If you have an urge to play around with meds, you can go to http://www.anesoft.com/Products/as.asp They have a pretty neat program. Also have a sedation simulator.
Basically what you're saying is that if the pain is not stoping you from being mobile, your pain isn't *that* bad. The WORST pain I have ever had in my life has been dental pain. Forget post-op knee...
Dave ARNP replied to luckymichelle's topic in General Nursing
If you wanna PM me I could perhaps give you some suggestions. I would need to know what she is taking, and how much as well as how her QOL is with them. Also, what she would rate her pain as on a...
Dave ARNP replied to luckymichelle's topic in General Nursing
My main area of practice is pain management, and I see alot of people who have had these procedures done. In my expeirence, they either work great or they're useless (sometimes making things worse)....
I think whoever did the cost figures for this needs to be smacked. You're telling me that it's better to pay an RN 20+ bucks an hour to clean a shower, when a housekeeper will do it for 6? That's...
Methadone is the primary pain drug I write, and I always write for a month at a time. Also, Methadone sometimes provides greater pain releif than Morphine will. No matter how equal the dose is.