Translate

Friday, January 20, 2012

ode to my favorite gelatinous goo

Okay...perhaps you have heard this...perhaps you have not. Prepare yourselves, all ye nursing sisters and brothers . A medication near and dear to every nurses heart is in short supply.

This drug calms that nervous little old lady. It stops the tremors of the withdrawing drunk. It makes that neurotic bitch in bed 4 tolerable. Yes, ladies and gentlemen, I am talking about that miracle drug Ativan.

I mean seriously, they expect us to continue to do our jobs without this nectar of the Gods, vitamin A, that we hold near and dear to our hearts. Tell me it is not so, cruel drug company, tell me it is not so. I cannot work under these conditions. I cannot work without that tiny vial full of a gelatinous goo...

I'll tell you why there is a shortage! Nurses have wondered for years why Ativan does not come in a 1 mg dose instead of the common 2 mg vial. The most common dose is 1 mg, we often waste the other 1 mg. Now we all wish we had all those 1 mg's back that we squirted down the sink. There is a river of Ativan, a veritable sea of goo, somewhere out there that we could use right now...

I WANT SOMEBODY TO TELL ME WHAT I, AS A ER NURSE,AM SUPPOSED TO DO IN A WORLD WITHOUT ATIVAN!!!!???

9 comments:

Still Dreaming said...

haldol......... or maybe you could just mist the whole place with some sort of calming gas. just the patient rooms, when no one's in them, they'd breath in, then it would clear and everyone would be niiiiiiiiiice and calm when you came in....

hoodnurse said...

And just when we figured out it was also a magical treatment for cyclic vomiting syndrome! If I could tuuurnn back time...

Anonymous said...

Here's a patients point of view. I spent many weeks in a hospital system, a couple of weeks in the ICU. One evening after giving me my regular meds, an ICU nurse prepared to give me something in my PICC line ("Vitamin A"), despite my condition, I had all my mental faculties and had been around long enough to know what this was. It was on my med list as available to me, but was never routine. I asked the nurse what it was, she confirmed it, and I refused it.

I may have had a reputation for being a little bit difficult, at least compared to others in the ICU who were completely out of it, but certainly nowhere in the same league with those the ED nurses regularly complain about in these blogs. My take is that she just wanted her shift to go a little easier, which is not enough reason for me to take something which is not medically necessary.

Please don't take this as a criticism of your post or nurses generally. I love the nurses, doctors, therapists, etc. I met (and there were many) almost without exception. I'm on your side, but am just giving my experience as a patient and wondering what the protocol for administering this drug is and should be.

GH

hoodnurse said...

That's legit. I always try to be pretty forthcoming about giving to ativan to people who are not agitated psych patients. I'm always big on explaining purpose and mechanism of action of all the drugs I administer, and it's kind of awkward when the doctor prescribes ativan to to someone with chest pain or something and you basically have to explain to them that you and/or the doctor feels it's anxiety related.
The orders are generally written "prn for anxiety or agitation" which is awfully subjective. I kind of hate giving it to lucid folks with the knowledge of how habit forming it is. That being said, for the demented paw paws who pull out their IVs or the people that have to settle down on Bipap or get intubated? Miracle drug.

girlvet said...

My view: all the patients who come in the ER should get a little vitamin A. It would make my job a lot easier...

Mark p.s.2 said...

regarding Anonymous :"not medically necessary" and "my experience as a patient"
In 2008 I was in the ICU for a heart operation-recovery and feeling under stress. I was happy and relieved the nurse put some Ativan into my IV . I was their patient.

Anonymous said...

Use Xanax

Anonymous said...

Feed them locally caught fish. They will be slow and mellow. That's where all those wasted doses go.

Anonymous said...

[url=http://casinoonlinebonussverige.com ]online casino [/url]personne, n'a gardé premier sens de la vie Ça http://onlinecasinose25.com online casino unibet online casino Tent, annex, 50