A middle aged man comes with back pain. "Back Pain?" I thought "What middle aged person doesn't have Back pain?"
As it turns out this one broke his back a couple of years ago at work. Fixed by surgery, rods were put in. He became addicted to pain killers... and then other things.
Now he's in the hospital with an abscess in the soft tissues of his lumbar spine that won't heal. Because of his past and present addictions (he came in positive for 2 different types of drugs, nonRx) The doctors are serving up the pain relievers very sparingly.
So every 2 hours...on the dot...I went in with his meager 1/2 mg pain shot.
Every 2 hours, I called the MD and reminded him about how much pain our patient was in.How he yelled out for help, writhed in bed, had a constant sqinty eyed look, never watched TV, ate, or slept. (If my patient and I were going to suffer so was he)
The really sucky thing is his drug use became known to his family (By him) just recently. He won't be getting the emotional support he needs from them.
I stopped a seizure dead in it's tracks today.(I used a vagal stimulator magnet thingy, which was so cool.) A seizure that causes a Post-Ictal Violent phase. So Violent that the seizures this patient has had since admission usually takes 6 staff members to restrain him after he throws several punches, kicks, bites. He'd been in restraints off and on since admission. He was as nice as the Pope himself when not seizing.
But no restraints from me. After this 4 minute Tonic Clonic seizure, I gave him the PRN Zyprexa. It worked! No violence, a bit lethargic but nobody got hurt. He was cooperative even. I passed the word on to his MDs and the night RN. Zyprexa, Zyprexa, Zyprexa. Miracle drug for this one. For some reason the nurses before me hadn't thought to give it. I was the first, even though it was ordered. He awaits placement in a home soon...his family can't handle his violence.