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Message
re: O- T health professionals; a question about hydromorphone
Posted on 12/28/16 at 7:10 pm to L S Usetheforce
Posted on 12/28/16 at 7:10 pm to L S Usetheforce
sorry,, im so fricking drunk right now
1
Posted on 12/28/16 at 7:11 pm to OWLFAN86
Drugs are bad, mmmmmk?
Posted on 12/28/16 at 7:12 pm to L S Usetheforce
I have been, but how in the frick is my word supposed to trump a doctor's perscription?
Posted on 12/28/16 at 7:12 pm to Scruffy
quote:
I work with smaller doses with kids though.
Does yall's EMR at your hospital do stupid shite like get VERY specific on med dosing using the kid's weight?
Ex: I've had orders to give a child 1.456 mg of morphine. I mean are you fricking serious?
Posted on 12/28/16 at 7:13 pm to OWLFAN86
That's a large dose. He needs to be careful and someobe needs to keep an eye his doses so he doesn't accidentally take too many. Like others say it's much stronger than morphine.
Posted on 12/28/16 at 7:16 pm to stuntman
Well easy....1) intervention 2) take drug away under cec orders to bring clarity to his mind 3) have intervention again and bring up his grandkids.
This post was edited on 12/28/16 at 7:19 pm
Posted on 12/28/16 at 7:21 pm to L S Usetheforce
If a doctor is prescribing it, doesn't that give my dad a legitimate reason to be taking it?
IOW, how is an intervention supposed to work if a doctor is okaying the use of the drug in the first place?
Posted on 12/28/16 at 7:26 pm to stuntman
Just because the MD ok's the prescription doesn't mean it's right. You could see 4 other docs and they may not prescribe him anything. Some are too lazy to look at his past prescriptions from other docs. Doesn't make sense if you want to keep your license. Same goes for pharmacists taking the prescriptions. When they only accept cash for certain scripts, you know why. Fear of being audited.
Posted on 12/28/16 at 7:28 pm to lsuson
Really appreciate the replies.
Thanks.
Thanks.
Posted on 12/28/16 at 8:22 pm to lsunurse
quote:Yes.
Does yall's EMR at your hospital do stupid shite like get VERY specific on med dosing using the kid's weight?
I try to fix it by rounding, but it orders stupid decimals.
Posted on 12/28/16 at 8:32 pm to stuntman
quote:
8mg 4 times a day
If one of my patients asked for this much dilaudid I would laugh at them, and that includes my surgical patients.
It blows my mind what some doctors will prescribe/patients will tolerate.
Posted on 12/28/16 at 8:44 pm to stuntman
I don't know of any doctors that would write that much for a non-cancer patient.
They have gotten so strict in AL about pain mgmt if a doc was writing that much for just pain, his arse would be in the cross hairs.
That being said, Dilaudid has a very low oral rate of absorption, so if he's been taking opiates for a long time, then he could easily tolerate such a dose.
The amount of opiates an opiate tolerant person can take is actually pretty staggering compared to guidelines.
It's the mixing of it with benzoes and muscle relaxers (Soma) that will kill folks.
They have gotten so strict in AL about pain mgmt if a doc was writing that much for just pain, his arse would be in the cross hairs.
That being said, Dilaudid has a very low oral rate of absorption, so if he's been taking opiates for a long time, then he could easily tolerate such a dose.
The amount of opiates an opiate tolerant person can take is actually pretty staggering compared to guidelines.
It's the mixing of it with benzoes and muscle relaxers (Soma) that will kill folks.
Posted on 12/28/16 at 8:46 pm to stuntman
Welcome to addiction
Posted on 12/28/16 at 8:46 pm to stuntman
narcan them and you will know if thats the case the pupils will go back to normal
Posted on 12/28/16 at 8:49 pm to Cracker
quote:
narcan them and you will know if thats the case the pupils will go back to normal
Posts like these are why you don't come to the OT for medical advice.
Posted on 12/28/16 at 10:15 pm to Scruffy
quote:
8 mg 4x/day
damn son... that's like stage 4 terminal cancer level shite....
if the patient is opiate tolerant (obviously, he is...) and is in chronic pain, he needs to be on a longer acting medication for pain control, with a short acting opiate, like the Dilaudid, for breakthrough episodes...
using a short acting opiate (anything not extended release) for a chronic issue is a sure fire way to make them severely dependent and/or addicted....
its one thing to need them and use them properly, and it's another to need them and misuse them....
i'd talk to the MD about either Opana (longer acting, extended release form of oxymorphone) or Fentanyl patches for pain management, with Dilaudid (or something else short acting) dosed as needed with a max dose per day...
Posted on 12/28/16 at 10:18 pm to chRxis
They are "outlawing" for lack of a better term, breakthrough meds in AL. You get one painkiller now.
They have already made it to where pain clinics can't write benzoes, which was a good thing.
They have already made it to where pain clinics can't write benzoes, which was a good thing.
Posted on 12/29/16 at 12:48 am to chRxis
Thank you so much for that.
I'm going to have another talk w/ my pops tomorrow about this and try to set up an appt. w/ the doctor.
I'm going to have another talk w/ my pops tomorrow about this and try to set up an appt. w/ the doctor.
Posted on 12/29/16 at 12:50 am to stuntman
Does he have a Rx plan?
Posted on 12/29/16 at 1:04 am to Titus Pullo
I'm pretty sure he does.
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