nopainNurse

nopainNurse

pediatrics, palliative, pain management

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All Content by nopainNurse

  1. Management of Epidural Analgesia

    nopainNurse replied to nurs1ng's topic in General Nursing

    No you can't see an epidural hematoma at the insertion site. An epidural hematoma is not just a hematoma at the insertion site (i.e. a hematoma just under the skin). The hematoma occurs in the...

  2. Do we have to give IV pain meds if patient requests when PO meds are ordered?

    nopainNurse replied to VegRN's topic in Patient Medications

    A patient falling asleep mid conversation is overly sedated. Passero has a opioid sedation scale that is really useful -- Assessment of Sedation During Opioid Administration for Pain Management I...

  3. VIP treatment. Ethical dilemma for paper?

    nopainNurse replied to metfan's topic in General Nursing

    What about something around the fact that we know people in lower economic situations typically have poorer health (lots of stats about this) and typically receive poorer care. The poorer care in...

  4. New grad living in misery r/t nurse managers and educator

    nopainNurse replied to maxdog's topic in Patient, Colleague Relations

    I wish there was a "strongly disagree" option next to the "like"

  5. To the cynical nurse

    nopainNurse replied to EDrunnerRN's topic in Patient, Colleague Relations

    So what is the fear around giving the Dilaudid pre CT? That the patient isn't "really" in pain? Or that some how the dilaudid will change the CT results? There is so much lately about requiring...

  6. My horrible hospital stay. What would you do?

    nopainNurse replied to Carebear77's topic in General Nursing

    Wow 4 hour bed rest after dilaudid IV? Is it only dilaudid or all opioids? And is it only IV? WHat about SC or PO? What is the rationale behind such a

  7. Guilty for pursuing a nursing career

    nopainNurse replied to outonalimb's topic in General Nursing

    I agree with the earlier suggestion to screen for depression. Very common thoughts/ patterns that exist with depression. Also look into Cognitive Behavioural Therapy, will help you to see which...

  8. morphine,dilaudid,demerol

    nopainNurse replied to EJSRN's topic in Patient Medications

    answers to the why phasing out demerol http://www.ismp-canada.org/download/safetyBulletins/ISMPCSB2004-08.pdf

  9. asking for meds?

    nopainNurse replied to backatit2's topic in General Nursing

    YES! Exactly!!! You said it perfectly ... especially "Nursing care shouldn't be something that patients get only when the ask specifically and repeatedly" If I could 100X Kudos your post I

  10. asking for meds?

    nopainNurse replied to backatit2's topic in General Nursing

    Just Googled PRN -- Here are the first 3 definitions. as needed: according to need (physicians use PRN in writing prescriptions) As the situation may require, more particularly directions on medical...

  11. asking for meds?

    nopainNurse replied to backatit2's topic in General Nursing

    The PRN discussion just about made me crazy, so I had to post without finishing this whole thread -- so I apologize if this has already been stated: PRN does not mean a patient must ASK for it! It...

  12. pain management, how do I get better with this?

    nopainNurse replied to Kitty Hawk's topic in General Nursing

    Yes, great book! Actually She just wrote a new one that came out this summer. I haven't gotten it yet, but have heard it is very good. "Pain Assessment and Pharmacological Management" Chris Pasero...

  13. Nurses Deserve More Respect!

    nopainNurse replied to natasharostova's topic in General Nursing

    I can totally relate. My family is very similar. I grew up thinking my aunt was a nurse (was told so by her and various family members). When I decided to go to university to become a RN, the aunt...

  14. Funny doctor orders

    nopainNurse replied to laurenicoleRN's topic in Nursing Humor

    This one recently from an older surgeon who really doesn't believe in pain management.... "Absolutely NO NARCOTICS" Next line...... 1-2 tabs of t3s q 4h prn That left us wondering........ does he not...

  15. Distrust of Dr's-Paxil Withdrawl

    nopainNurse replied to KimGau's topic in General Nursing

    Kim, I really feel I can relate to your experience. I am not angry at my doctor though, (she is fabulous), and we did talk about withdrawl. Actually when I came off paxil it was a 4-6 week taper...

  16. Distrust of Dr's-Paxil Withdrawl

    nopainNurse replied to KimGau's topic in General Nursing

    Actually I had almost the exact same experience going off of Paxil. It was really the worst experience of my life and I did feel that i was going "crazy". I actually went back on, stabilized and...

  17. Addicts!!! NURSES How do you seperate addicts from pts. who really are in pain?!

    nopainNurse replied to chasemelony's topic in General Nursing

    Great thread! This is one of the biggest challenges of pain management, the concern about addiction. What I believe (and teach) is that addiction isn't something you can discover easily or in the...

  18. Going to hospitals in person-- yes or no?

    nopainNurse replied to RN1298's topic in General Nursing

    Somehow it has to be a balance between assertive and respectful of the nurse managaer's time, but my vote is to try and get the resume into the NMs hand. My experience 10 years ago was that I went to...

  19. Pelvic Fracture and skin care concerns

    nopainNurse replied to YankeeHater's topic in General Nursing

    I would look at how "generous" her dilaudid dosing actually is. Often patients with chronic pain take opioids at home and develop a tolerance -- you comment that she was on opioids previously. I...

  20. Caring for amputees...post op and in general

    nopainNurse replied to bluemorningglory's topic in General Nursing

    The mirror idea is called "mirror box therapy." If you saw the recent House episode, he actually used it. However in the TV version the healing of the pain was miraculous and instant. In reality...

  21. Shingles pain

    nopainNurse replied to NewNurseAlert's topic in General Nursing

    Not sure from initial post if this is shingle pain (post herpetic neuralgia), or something else. But just a thought about the ativan. Ativan is fabulous for anxiety, but really shouldn't be used for...

  22. I really need your help with these guys!!

    nopainNurse replied to Superlost1984's topic in General Nursing

    I agree with you, and should have said my comment more clearly --- that internet is really broad and I would be wary about privacy/ security. My concern was that many people don't realize how...

  23. I really need your help with these guys!!

    nopainNurse replied to Superlost1984's topic in General Nursing

    For the second question, I would answer C. I would be very concerned regarding the sending of any patient information through the internet, for security (privacy)

  24. Advice needed!!! New graduate....1st interview!!!

    nopainNurse replied to OBGYN*RN's topic in General Nursing

    I have interviewed a variety of nurses, new grads and students, and I have a few suggestions: 1) Prepare!!! Make a list of all of your accomplishments, strengths, examples from clinical/ school that...

  25. Giving IVTT meds at once and pt on morphine prec recieving trama

    nopainNurse replied to martheena08's topic in Patient Safety Issues

    Anytime anyone is on opioids you should be checking the resp rate, and sedation level. (Tramadol and Morphine included). As for the other drugs (and all drugs in general), you should be looking this...