Kissy1818

Latest Activity

1. Do you chart lies?

   Kissy1818 replied to RNdynamic's topic in General Nursing

   We have been told that you don't need to wake a patient up, you can write on asleep, obviously can visually see sweating etc, but if they are asleep unlikely to need any meds at that time. Obviously...

2. The Face of a Medical Error...

   Kissy1818 replied to Music in My Heart's topic in Patient Safety Issues

   This is an old post but I have found what you wrote hits home and has helped me a lot, we can all make errors and be involved in errors and it's the worst feeling ever. I just wish I knew how to...

3. Respiratory depression

   Kissy1818 replied to Kissy1818's topic in Patient Medications

   I was just really looking for advice and experience, is aware the onset is fast and they peak fast and aware of half life's it was more that I am quite new to nursing and wanted ore experienced...

4. Respiratory depression

   Kissy1818 replied to Kissy1818's topic in Patient Medications

   Thankyou. Would the outcome be resp arrest and cardiac arrest if undiagnosed? How fast would that

5. Respiratory depression

   Kissy1818 replied to Kissy1818's topic in Patient Medications

   Yeah I understand that not all palliative patients are end of life, therefore wouldn't be treated the same. As we get such a variety of patients copd ling cancer and chest infection's was more...

6. palliative meds

   Kissy1818 replied to Kissy1818's topic in Hospice, Palliative

   I think in hindsight I would

7. Respiratory depression

   Kissy1818 replied to Kissy1818's topic in Patient Medications

   Thankyou for all you advice has helped alot. I think I started tqi questions here. I work on a respiratory ward so get both palliative and non and uae opiates in both but tend to only use the benzos...

8. Respiratory depression

   Kissy1818 replied to Kissy1818's topic in Patient Medications

   Also what would you do in the case of palliative patients who's resps decrease as it does seem naloxone or the reverse of benzoa isn't used? Would we skip next

9. Respiratory depression

   Kissy1818 replied to Kissy1818's topic in Patient Medications

   Yeah we don't use to high doses like 5mg oxynorm or morphine 10mg is what I've seen. We give the narcotics to palliative and non palliative only seen benzos like midazolam given in palliative care. We...

10. Respiratory depression

    Kissy1818 posted a topic in Patient Medications

    On the area I work we use a lot of iv meds and especially opiates and sometimes bentos for palliative patients. I am aware that given these can both cause respiratory depression, how fast will this...

11. palliative meds

    Kissy1818 replied to Kissy1818's topic in Hospice, Palliative

    In this occasion that distressed me the most the gentleman wasquite young, deteriorated quickly each time the midazolam wore off he was quite agitated trying to get out of bed, was this due to his...

12. palliative meds

    Kissy1818 replied to Kissy1818's topic in Hospice, Palliative

    I think its that I fear the patient may miss out on last words with family but I suppose if they are agitated it is much more destressing. And benzos have the same risks as opiates of respiratory...

13. palliative meds

    Kissy1818 replied to Kissy1818's topic in Hospice, Palliative

    I work in the uk and as a protocol for end of life agitation they uae midazolam prn and in syringe driver. Seems everywhere has different protocols. Just getting ny head round thw whole end of life...

14. need some advice on use of iv

    Kissy1818 replied to Kissy1818's topic in Hospice, Palliative

    The gentleman died unfortunately. However he seemed comfortable had all his family around him I found the whole experience a bit distressing as I have so many questions but feel I have learned aome...

15. palliative meds

    Kissy1818 posted a topic in Hospice, Palliative

    Just a little query so do we tend to only use midazolam in the last few days of life for palliative patients? Why is this and also why do we tend to uusethe sc route rather than iv? Thanks in