nursegumby

This. We typically use Zofran for CVS pts. We use Phenergan sparingly. Fluid, Zofran, maybe some Bentyl. Rarely, if ever, pain meds.

Wow. I'm quote speechless really! You absolutely should have, without a doubt, wasted that 1mg left! And at the VERY least, not left in the room of a suicidal pt.

This is devastating. While I'm an ER nurse in Texas, my sister-in-law worked with a couple of the victims (she's also an RN). It's all so very sad.

Thanks all - I appreciate your insights. Felt bad for the poor girl, she was obviously in tremendous pain. As an aside, she returned days later for exacerbated sx, increased numbness/pain, and after a consult with her ortho and an MRI it was determined that she's suffering from Cervical Disc Osteophyte Complex in the C5/C6 - spur pressing against her spinal cord. Yeeouch! That could certainly explain the pain!

"Sore toenail". I kid you not. Oy!

Hello all, Question for you... How many times have you treated a pt who has Degenerative Disc Disease but has presented with new onset of sx which are severe pain and numbness/weakness in one arm? How have you treated? Do you see this often? We had a pt come in, had all of the above, couldn't get in to see her ortho for another week and was clearly in pain. I wasn't too thrilled with the docs attitude in relation to the pt as she's been in twice before with ovarian cysts (4cm+) and he acted as though she was seeking. Ordered an xray and saw some degeneration (as she stated, C-5 - C-7) and ordered IM Toradol. After 45 minutes, pt stated no relief and dr VERY reluctantly ordered IM 1mg Dilaudid. Pt had relief at that point. He insinuated to me and another nurse that DDD couldn't be "that painful", but as someone who also suffers from it, I couldn't disagree more. He said the Toradol should have been sufficient, plain and simple. So I'm wondering, if you've had a pt with the above (suspected cervical radiculopathy), were your drs as callous as this? And what was your tx? Thanks in advance!