Published
to your ER recieve????
were i used to work it was just the usual peth and maxalon im injection. but this stopped about 3 years ago and now they only give chlorpromazine infusion. since doing this the number of migraine presentations dropped by about 80%
now in the place i work which is out in the country the Dr seems to only give peth. ive given him the literature on this and that we shouldnt be giving narcotics but he still does. so what im wanting to know is what have you guys found most effective?
It is important not to lose sight of the big picture here. We should assume a patient is being honest about their migraine unless we have actual knowledge that they are not (not just suspicion). It is better to make sure that the patient's pain is relieved whatever medication or combination of meds it takes - If a few drug seekers get mixed in oh well. At least the real patients were cared for not just treated with suspicion and under-medicated "just in case they might be a drug seeker". A migraine can be excruciatingly painful.
It is important not to lose sight of the big picture here. We should assume a patient is being honest about their migraine unless we have actual knowledge that they are not (not just suspicion). It is better to make sure that the patient's pain is relieved whatever medication or combination of meds it takes - If a few drug seekers get mixed in oh well. At least the real patients were cared for not just treated with suspicion and under-medicated "just in case they might be a drug seeker". A migraine can be excruciatingly painful.
:yeahthat:
I just love how people mock pts. who "claim to be allergic to Toradol." Guess what? I am allergic to it. I had a rash, scratchy throat, and itching after getting it IM. So sure, go ahead and sneak it into me to see if I'm a faker. Hope you have a good malpractice atty.
I try to avoid the ED at all costs because of the contempt I've rec'd in the past. I worked ED, so yes, I know there are people out there looking for a fix. I also know that for every one of those pts. are probably five who have been treated poorly by staff who assume they're guilty of being a seeker.
Migraines are complex; what works for one doesn't necessarily work for all.
Our docs tend to use narcs (grr) ... but one started using imitrex ... until 2 weeks in a row the patient died! (Unknown, pre-existing aneurisms that blew). Please just know that it is not an inoccuous drug!
It's not really funny, but this made me laugh. It sounds like the same pt. died two weeks in a row.
susi_q
122 Posts
Our docs tend to use narcs (grr) ... but one started using imitrex ... until 2 weeks in a row the patient died! (Unknown, pre-existing aneurisms that blew). Please just know that it is not an inoccuous drug!