ERnursey wonders why narcotics are becoming first-line treatment for pain in some ERs:
And not just any old Norco, uh uh now we give a Norco 10mg all the time. For ankle sprain or lacerations. What about Motrin? It’s my drug of choice.When did we stop titrating Morphine? In our ER the standard used to be Morphine 2mg IV every 5 minutes up to ten milligrams. Now the order is Dilaudid 1 mg every 10 minutes up to 4 milligrams which is almost three times the strength of the 10mg of Morphine.
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{ 1 comment }
Agree with Annonomyous and have one to add. The colosual blunder by Healthcare in accecpting Pain as a Vital Sign and Pain is whatever the patient says it is regardless of how unaffected they appear by the reported pain. That along with the desire to produce high patient satisfaction scores. We’eve empowered the disfunctional. I worked with a midlevel provider recently that was near tears because a patient threatened to complain because she would not write him a Vicodin Rx for “back pain” that seemed to have little or no effect on his ability to walk, bend, move, ect. She wrote him for a muscle relaxer and a NSAID. Also, some ER groups are being offered bonuses for high scores which has many ED Physicians casting aside their principles and giving out pain meds like candy.
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