questions about vomiting

do you fish out the meds and give them again

If I see the meds (whole), I'll chart as not given. Give the patient something for nausea and try again later (with fresh pills lol) or use another route if available.

If they are not visible, I don't re-medicate.

ewww why would you "fish them out" and give them again? i wouldnt want to swallow something that i had just puked up! :imbar

"fish them out and give them again'......your joking right??? As Muhaha said, EEWWWWWWWWWWWWWWWWWWWWW!!!

I wouldnt give another dose of anything at that point. Document that the patient had emesis following oral medication administration and monitor the patient for blood pressure and any other symptoms that may lead you to believe they lost their dose of medication with the emesis. If symptoms arise call the doctor and get a followup order either to remedicate or otherwise to cover yourself.

In order to remedicate you have to be clear about what the patient actually lost and there is no way of doing that even if you do fish them out and do whatever to identify them. Unless you can identify the inscriptions (lot numbers/ characteristic numbers) on the pills you cannot positively identify what they lost. Unless of course you only gave them one or two pills. But especially in LTC people are taking multiple pills at one time and to identify anything would be next to impossible. And digging around in someones emesis is just ...................;ya,, EWWWWwww

Good advice on the previous posts! :uhoh21: Yick! I would totally agree with NOT fishing out pills from puke and re-administering them. You might get them thrown at you.

Good advice on the previous posts! :uhoh21: Yick! I would totally agree with NOT fishing out pills from puke and re-administering them. You might get them thrown at you.

Okay, I think what they were trying to say is they figure out which ones are not digested and administer that same medication again. I don't think they were trying to say that they would take the pills that were in the vomit and administer them.

august07

would you really take the pills out of the vomit and give them back to the pt?

I am really curious.

Really-was this a joking post? Why on earth would you fish out something covered in stomach acid (and possibly bile and bacteria/toxins/virus), thus probably partially disolved and just plain NASTY and give it to a human being?

I threw up my percocet when I was in the hospital 2 years ago. My nurse flushed them with the vomit, called the MD, and got an order for IVP meds (I was way out of it, but I think it was morphine) and also phenergan to stop the vomiting. THAT is what should be done.

if i see the meds (whole), i'll chart as not given. give the patient something for nausea and try again later (with fresh pills lol) or use another route if available.

if they are not visible, i don't re-medicate.

if i'm not mistaken, this was meant faceiously y'all (hence the lol)... lighten up!

:monkeydance:

if i'm not mistaken, this was meant faceiously y'all (hence the lol)... lighten up!

:monkeydance:

ick.

Doesnt matter one way or the other,, unless you gave your patient only one/two pills and you actually visually see one (which might be drastically different than the other) or both pills in the emesis you DO NOT repeat the medication without an order from the doctor. There is NO WAY to accurately identify the pills. Even a short time in stomache acid deteriorates the coatings and etchings on the pills.

If you choose to repeat the dose without an order you are prescribing without a license. It is a decision that needs to be discussed with the doctor.