She's a COPDer who came in from her shelter lethargic, wheezing and short of breath. She couldn't stay awake enough to consistently breathe in the nebs we gave her, was satting only about 83 on 3 liters. When her arterial blood gas came back with a CO2 of 77, an O2 of 47, and a ph of 7.28, the decision was made to give her a little narcan to reverse the effects of the methadone to get her respirations up from about 6 to something useful. And we put her on bipap.
But before the respiratory therapist fitted the mask to her face, she informed me that if I ever gave her narcan again, she would "bust up my fucking face." Nice.
8 comments:
Ah, fitting thanks for saving her life, or saving her from having a big ass ETT jammed through her vocal cords. Nice.
Nice...next time use a # 9 ETT to wake her a$$ up. Sheesh! I'm glad someone can do what you do,I can't.
a sincere thanks for what you do.
Much easier to intubate and ventilate. If they wake up and pull the tube out, their vocal cords should be so sore, that they won't feel like yelling.
I prefer to just give 20 - 40 mcg at a time until the patient is breathing adequately, but it doesn't always work out the way I planned and I occasionally end up with an taste of why this person did not graduate from charm school.
A day without being called a Cracka is like a day without sunshine.
This type of positive reinforcement lets you know that you are doing your job well. Crackas of the world, unite! ;-)
You could paralyse her, intubate her, and THEN give the Narcan. That would be mean but fitting.
LMAO! Narcan is such a cool drug. I love watching it piss people off, hehe.
One of my Dilaudid Darlin's developed severe itching and HIVES after 3 1/2 mg of (courtesy of Dr Candyman). I told her she now has an allergy and would not recieve any more here .EVER as I would be documenting the reaction with Pharmacy. She was agitated...no no it can't beeee!!!!heh..yes, sister sometimes we win too.
Yvonne ED RN
You know she's just a stupid ass junkie. if she was white she would have called you something else. Junkies are all the same
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