Topaz7

There's psychological addiction then there's physical, I never said a person would need to detox from phenergan, but that doesn't mean it can't be abused or psychologically addictive, and yes our docs have said it can be that's why they order us to withhold phenergan after the person has had and is REQUESTING IM phenergan around the clock.

Disagree ... I've taken phenergan and it made me feel like I was on Vicodin for a couple hours before it knocked me out. It's not a scheduled med but its naive of you to think people don't abuse phenergan lol. I recently cared for a patient who admitted to being addicted to and abusing neurontin.

Maybe they just had one last "binge" right before coming in and that's why it kept going up after admit.

Wow... Interesting

The person was an unreliable source on when they last drank which tells me probably right before they came in they might have had some.

I will I promise :)

I have not solved the riddle lol maybe ill pick the dr.s brain a bit

3 16oz glasses

Came in at .147 next check .159 after five hours it was a .195- had patient drink a lot of water and it came down to .107 after 3 glasses of water. Does dehydration play a role in it?

Ok. Thanks for the response!

Possible but we searched the patient and they cane in with no belongings.

I'm just wondering why someone's BAC would continue to go up and up and up upon recheck even 5 hours after admission onto the unit. The RN I'm working with says that with it being 5 hours since admit the BAC should not still be going up.

Newer* lol and no problem. My unit is in the middle of transitioning into doing TMS treatments. You should research it, pretty interesting!

Transcranial magnetic stimulation It's a less invasive new were approved treatment

Thank you :)

Thank you for your reply! I might do that! Sorry I have been away for awhile and haven't responded til now.

My hospital recently did a study of ECT in dementia patients with behavioral issues and we had great success in alleviating behavioral issues. We also treat behavioral issues in patients who are DD or mentally challenged with mood disorders and its helped some of them as well. We treat a wide range of patients, not just classic depression.

I have seen it work miracles for my patients! It really is more effective than meds but politics comes into play and insurance companies won't pay unless you've had several failed med trials usually. I believe my boss said ECT as first line of treatment is 50-60% more effective than antidepressants when used initially. Although it is rarely used for Schizophrenic patients I have seen one case in which it eliminated the patients voices completely! Typically bilateral treatment is used to give quicker results but if the patient is having a lot if confusion or for other reasons the doctor will switch to unilateral.

I set up treatment room for the doctors, reconstitute the Brevital, recover patients, assess, the only difference is I have to have the RN discharge and I can't do IV meds. In Detox I'm the med nurse, assess assist in admissions and charting with the RN.

Yes, I work full time in ECT in recovery, and also on call in Detox.

Accidentally cut off my post mid way. Anyways it would be no better than how they did it years ago when they used it to punish people "out of their bad behavior."

I'm an ECT nurse as well, and yes it's done under general anesthesia with a muscle relaxant. If they didn't it would be torture

First of all, phenergan can and is abused. I've taken it, it can and with a lot of people myself included give you a high, not to mention knock you out cold. Out of the list of meds the OP mentioned the only one I would even be concerned about evaluating real need versus med seeking with IS the phenergan. Vistaril, Benadryl, antihistamines I don't really care. If my patient wants an antihistamine ill usually give it. It's not like its Valium. I usually don't withhold phenergan unless the patient is requesting it for nausea they have rated at a 1, I will try mylanta first or ginger ale, or if they just ate 2 sandwiches. My theory is if you have been out there snacking and eating you can't be about to vomit. With the trazodone- I give it unless they are sleeping. If I have to wake you up to take meds there's no need for a sleeping pill. If you find you can't sleep later third shift can give it.

I didn't realize I was talking to a 5 year old "rolling eyes." You sounded and still sound like you were being discriminatory against that population. Not wasting my time going to read your previous posts just like I'm done wasting time any further with this discussion. It made you sound like a jerk in my eyes. I'm not one of the people who endlessly troll these forums, I have other things to do lol.

Seems you have something against addicts... I work in addictions and I can tell you nobody wakes up saying " I think I'll become a heroin addict today, completely screw up my life up and family over." It's a valid diagnosis and unfortunately people view these patients with a very negative attitude the same as they view patients with borderline pd. these people are sick, do they have behaviors that irritate people? Sure but never forget they are sick and need help too. Also the homeless you speak of... Guess what? Many of them are homeless due to substance abuse and/or other mental illness.