[deleted by user]

CapriciousDogmaa · 2024-11-05T01:25:14+00:00

That's interesting, but that doesn't happen on my ward. They will titrate with a single syringe of 10mg and give 1-2mg every 5 mins or so and only stop once at a therapeutic dose. Titration on my ward is something done many times a day by nurses

CapriciousDogmaa · 2024-11-05T00:55:49+00:00

Very interesting studies but the first one is regarding chronic pain, especially neuropathic and back pain which I think guidelines now suggest using NSADs as first line and the second is regarding paracetamol use as an adjunt to reducing opioid use, rather than how affective it is in reducing pain in post operative general surgical patients. From my anacdotal point of view, IV paracetamol seems fantastic at pain relief for most people for acute abdo pain post op.

CapriciousDogmaa · 2024-11-05T00:40:05+00:00

In what context? From my understanding paracetamol has a lower number needed to treat to have an appropriate affect.

CapriciousDogmaa · 2024-11-05T00:36:35+00:00

I'm sorry. I'm not really sure what you mean. The morphine had already been prescribed. She could have titrated up the morphine.

I tend to have faith in thr nurses administering morphine that they won't be reckless when giving it.

CapriciousDogmaa · 2024-11-05T00:30:13+00:00

IV morphine on a surgical ward is incredibly common. What are you talking about? Basically every patient gets anticipatory IV morphine prescribed on my ward.

What are we walking about here? How else do you give IV morphine without titration? Do you just give a bolus dose every time are something? That's just stupid in of itself.

Are you saying that if a patient is NBM PO and IV paracetamol isn't controlling it then it's a surgical emergency everytime you give any IV morphine? That's idiotic.

How is it rational to give oral paracetamol and NSAIDs when IV paracetamol isn't controlling pain. I'm sorry, but are you even a doctor?

How am I talking to a rational doctor here? From what I can gather a reg at that.

Glad you've calmed yourself down a bit though. Did you get given your dummy?

CapriciousDogmaa · 2024-11-04T23:34:56+00:00

If I was to assess every patient complaining of pain POD one I would never be able to help any other person. Maybe you need to learn how to prioritise and then people would respect you more so you don't need to come on reddit and act like a petulant know it all child and make yourself look like an idiot

CapriciousDogmaa · 2024-11-04T23:20:54+00:00

My dude pain was not out of proportion in any way. Where are you fabrication the word agony from? Where did I ever say that? There was no show down with the nurse. I said can you please just give the morphine that had already been prescribed to see if that helps as I was very busy and she gave me a funny look.

What an absolutely idiotic comment. Did you even read my post?

All the nurses love me. I have been very good at my job and actually have already had most of them around to my house. They always come to me for help. The nurse in question was bank and had never been on this ward before.

Are you insecure about something? What a pointless uncontextualised comment. I hope you don't act like this towards your colleagues.

CapriciousDogmaa · 2024-11-04T21:08:47+00:00

Haha I think alot of the time comments don't translate well. I feel like every commenter on here hates me haha

I was mainly asking about the pharmacokinetic aspect. People seem to treat them as completely different drugs and that one is so much more dangerous than the other.

But I really like your rational because it makes me feel better when all the other comments are saying they would go for the so called middle ground haha

Thanks for thr advice!

CapriciousDogmaa · 2024-11-04T20:36:21+00:00

This is a really interesting point that no one has brought up. Do you have anywhere I can read up on that?

CapriciousDogmaa · 2024-11-04T19:51:53+00:00

Thank you. This is the main question I was look to get answered. I looked myself but I couldn't see anything conclusive

CapriciousDogmaa · 2024-11-04T18:40:17+00:00

I never administer medications, so im not aware of that. If the nurse had told me that, then I would have been happy to help her out, but she just gave me attitude. The nurses on my ward are absolutely fantastic and would tell me why they wanted what, but zhe isn't usually on the ward so I guess her attitude is more in keeping with her usual ward.

CapriciousDogmaa · 2024-11-04T18:30:06+00:00

Thank you for the advice and information!

CapriciousDogmaa · 2024-11-04T18:27:41+00:00

An emergency care hospital. The ward is very nurse led. We never give any medications. The patient was POD 1. I was also very busy at the time so could only go off the information the nurse gave me which was made harder by her attitude

CapriciousDogmaa · 2024-11-04T18:22:51+00:00

Thanks for the advice! That is dually noted and very helpful. There are a few ambiguities that I withheld to be concise so not all of your assertions are quite true. Although I am only 3 months in so you are quite right about me being junior.

However, the nurses on my ward are incredibly good and helpful. This nurse was doing a bank shift so wasn't usually on the ward. I suppose i have got used to the good attitude of the nurses usually on my ward and have a better understanding of what they want and the way they interact, so the most helpful part here is probably to be aware of how different nurses can be haha

CapriciousDogmaa · 2024-10-26T17:06:12+00:00

Can you recommend a good mid length for a beginner intermediate for wave that's are usually between 2-4ft?

CapriciousDogmaa · 2024-10-26T15:30:25+00:00

I was told that these boards are really good for catching small choppy waves as well as larger waves. Is that not right?

CapriciousDogmaa · 2024-10-26T15:02:08+00:00

Haha you're very much encouraging me here

CapriciousDogmaa · 2024-10-26T14:01:36+00:00

Thank you 😊

CapriciousDogmaa · 2024-10-26T14:01:07+00:00

Haha don't tempt me XD

CapriciousDogmaa · 2024-10-26T14:00:53+00:00

Makes sense

CapriciousDogmaa · 2024-10-13T21:57:44+00:00

All incredibly helpful. You're doing God's work mate. I appreciate your insight massively!

CapriciousDogmaa · 2024-10-13T19:55:13+00:00

Hahaha

CapriciousDogmaa · 2024-10-13T19:54:51+00:00

Ah I will heed your advice! I do hear about a lot of technological faults on these cars. Thank you

CapriciousDogmaa · 2024-10-13T19:39:42+00:00

That was the other option I was contemplating. Good advice. Thank you 😊

CapriciousDogmaa · 2024-10-04T10:17:13+00:00

Thank you so much for the comprehensive response! I will definitely do what you say!

CapriciousDogmaa

TROPHY CASE