The message <[log in to unmask]>
from Neil Iosson <[log in to unmask]> contains these words:
> > In our own dpts, Rob is correct, we still get the juniro H.S. denying
> > analgesia to abdominal pains and prescribing Pethidine when it has
> been
> > demoisntrated that its half life is short and that induces a lot of
> nausea.
> What would you recommend instead? Just use morphine + antinausea?
Morphine. I'm fairly mean with anti-emetics in younger people as the
incidence of dystonic reactions is rather high. I tend only to give
them to those who are very nauseated or have actually vomited.
> I had a quick look in the yellow bible (Ox Handbook of Clin Medicine)
> and think I have found the answer. Throughout the pages on both the
> acute abdomen and also acute appendicitis, analgesia is not mentioned.
> The implication in teh former being, that until a diagnosis is made
> you shouldn't start treating with analgesia.
I will give analgesia to almost anybody in pain. (Whether or not
there's a diagnosis)
Beware the patient with 'renal colic' who states that 'Voltarol doesn't work'
Some of these are hospital hoppers...
--
Helen D. Vecht
[log in to unmask]
Salisbury, Wiltshire,
Great Britain
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|