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"I'm so dehydrated!".
Your H&H are normal.
Your BUN & Creatinine are normal.
Your urine specific gravity is on the low end of normal.
Your urine is pale yellow and clear.
Your mucous membranes are moist.
Your skin is pink, warm, dry, with good turgor.
Your capillary refill is brisk.
Your vital signs are completely WNL.
You are neither vomiting nor have diarrhea, and have a good appetite.
You are not dehydrated.
"But I'm thirsty and my hands are dry."
I'll get you some water to drink and some lotion for your hands.
And yet, MD still orders NS 1L fluid bolus IV.
How often do you see this in your ER? Discuss.
A liter of NS always helps my migraines. My neurologist recommended it with the toradol combo and it's never failed. Never a lab indicator for needing it, just helps.
Yes, but the difference is you're probably not bemoaning how "dehydrated" you are. It's well known to anyone that's been around for a minute that a fluid bolus can help with migraines. Totally not what I'm talking about.
I drink tons of water--TONS--and I never felt so much improvement so quickly as when I got two liters NS in the ER. Of course, I had pyelonephritis, but still. The cooling sensation + hydration = instant relief. (And no, it wasn't the pain meds--asked for no narcotics, got Toradol.)
I am confused. You had pan, were given an extremely effective pain medication, and got pain relief. There could be a connection here.
Hhern, it won't let me quote you, but this is in response to your "question"/criticism of my response. I could tell a difference between the pain relief I felt from the Toradol and the cooling sensation from the hydration. My point in even mentioning the Toradol was more to say: I wasn't loopy from narcs.
It works wonders for my migraines, too! Then a toradol/reglan combo, and I'm good to go! I don't always go to the ED with my migraines...just the ones that will not break.
A liter of NS always helps my migraines. My neurologist recommended it with the toradol combo and it's never failed. Never a lab indicator for needing it, just helps.
weirdscience
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It's WONDERFUL!