the 100% directionless thread

Just slept 15hrs thanks to some of the worst allergies I've had
 
Obese patients always code in the bathroom or in a recliner. Never fails.
 
STXmedic said:
Partially. 50mg of Benadryl, but that much usually doesn't put me out that long.
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I'm currently take a mini-vacation (3 days). Sleeping for even twelve hours would be awesome.
 
I feel like taking an IO and drilling into my sinus cavity... F'ing cedar :mad:
 
Chimpie said:
I'm currently take a mini-vacation (3 days). Sleeping for even twelve hours would be awesome.
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I know, right? It has been a long time since I got this little sleep. About 10 hours total over the past 4 days.
 
I have slept 16 hours a day for the last 3 days. I don't know what is wrong with me but I feel like :censored::censored::censored::censored:! Plus heartburn that makes it hard to breathe.
 
STXmedic said:
Partially. 50mg of Benadryl, but that much usually doesn't put me out that long.
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My partner slammed an anaphylaxis patient yesterday with 50 of Benadryl and she was out like a light. Never seen that before.

Also gave her 0.3mg of epi 1:10 IV at once. Don't really know how to bring that one up, he's not my regular partner but I think that's a fairly serious medication error.
 
Tigger said:
My partner slammed an anaphylaxis patient yesterday with 50 of Benadryl and she was out like a light. Never seen that before.

Also gave her 0.3mg of epi 1:10 IV at once. Don't really know how to bring that one up, he's not my regular partner but I think that's a fairly serious medication error.
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Um... We usually like to give that IM (1:1000). The only way we can give it IV is if the patient is "near cardiac arrest".
 
Anjel said:
Um... We usually like to give that IM (1:1000). The only way we can give it IV is if the patient is "near cardiac arrest".
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If memory serves, in this scenario an alternative to 1:1000 IM would be 0.1 mg 1:10000 IV over 5 minutes. But 0.3mg 1:10000 IVP? I'm thinking not.
 
This whole night shift not being able to sleep thing... not as fun as I remember lol. I'm not used to not being able to go crash out in my bunk at night. Oh well, hospital pay is nice
 
So we just got sent to do an IFT, pickup is an hour and a half out of our normal service area for a BLS call that will take less than 20 min. Some days I just love my company
 
MrJones said:
If memory serves, in this scenario an alternative to 1:1000 IM would be 0.1 mg 1:10000 IV over 5 minutes. But 0.3mg 1:10000 IVP? I'm thinking not.
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We can give 0.25 mg 1:10000 Epi IV slowly for severe anaphylaxis, but I'd certainly dilute that in a 100 mL bag and run it in. I haven't had occasion to give IV Epi to a non cardiac arrest patient yet, but I plan on being exceedingly careful when I do.
 
Tigger said:
My partner slammed an anaphylaxis patient yesterday with 50 of Benadryl and she was out like a light. Never seen that before.

Also gave her 0.3mg of epi 1:10 IV at once. Don't really know how to bring that one up, he's not my regular partner but I think that's a fairly serious medication error.
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It is a med error. That's an IM dose and there's a reason it goes IM instead of IV and there's a reason Epi is usually given as a drip instead of a bolus when given IV. The Epi bolus is somewhat akin to revving a motor and popping the clutch when racing someone. It's very stressful and you hope nothing breaks when you do it. Same with people...
 
Akulahawk said:
It is a med error. That's an IM dose and there's a reason it goes IM instead of IV and there's a reason Epi is usually given as a drip instead of a bolus when given IV. The Epi bolus is somewhat akin to revving a motor and popping the clutch when racing someone. It's very stressful and you hope nothing breaks when you do it. Same with people...
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The amount of vomit that resulted was fairly staggering, that's for sure.

Trying not to rustle feathers as the new fulltime employee but at the same time he seemed very sure of himself when I asked him if that was the right dose so I'd like for some action to be taken I guess.
 
Do you guys not do chart review? I'd think that a med error would get caught in the charting. If not, you need to say something to someone.

Med errors are treated seriously here.
 
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I just double checked and for profound anaphylaxis our protocol is .3mg 1:10 IVP
 
Yeah 0.3 q5 IVP is the norm for severe asthmatic though I've only administered it that way once for a peri-arrest cardiac arrest respiratory arrest. So breath stacked she couldn't be bagged with an impossible airway. Took the ed doc 3 attempts with a video scope to get the tube. She finally started pulling around after getting IV Mag which isn't in this areas protocol set unfortunately.
 
My protocol call for 0.3 mg 1:10,000 SIVP Epi in severe anaphylaxis.

Never had to give it.

It's a peri-arrest route and dose.
 
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