Skip to content
View in the app

A better way to browse. Learn more.
allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

Too much medication

The Situation: Patient requesting dilaud 2mg dose every four hours for a pain ranging 7 or greater. Pain is described as a headache with visual disturbances. Shes been cleared by neuroligist. Opthamology has been consulted. She has phenergran q6hours for complaints of nausea. She is drowsy, often sleeps, but respirations are never under 16. Husband becomes concerned with her affect and accuses staff of overmedicating her. Question: Was it staff"s fault? If so; in particular was it the nurse who followed the MDs order at fault? Or the MD who ordered it? Or the patient who requests it? How could i have made this situation better?

  • Quote

    • Featured Replies

    If she's AOx3 with stable VS then there isn't any "fault". Dr's orders will cover you that far, and some people will take advantage of the heavy hitters as long as possible. Has she been taking them for an extended period of time? I would hope there's a plan to wean her off the narc (addictive and likely to cause a rebound headache) and the known vesicant. As her nurse you can educate and advocate, but she might not care. Try to keep the husband in the loop of education and advocacy about her prn meds.

    Dilute, push slow, and when appropriate: give the lower dose/alternate med!

  • Quote

    .whoops.

  • Quote

    • Join the conversation

    You can post now and register later. If you have an account, sign in now to post with your account.

    Guest
    Add a Comment
    Go to topic listing

    Currently Reading 0

    • No registered users viewing this page.

    Account

    Navigation

    Search

    Search

    Configure browser push notifications
    Chrome (Android)
    1. Tap the lock icon next to the address bar.
    2. Tap Permissions → Notifications.
    3. Adjust your preference.
    Chrome (Desktop)
    1. Click the padlock icon in the address bar.
    2. Select Site settings.
    3. Find Notifications and adjust your preference.