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Reel_X_4U
Enthusiast
Reged: 04/24/03
Posts: 255
Loc: Queens, New York City
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Re: Upcoming Surgery - Time to Taper?
02/14/04 06:16 PM
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I still don't get it. If the doctor knows upfront that he's been prescribing her 3 Percocets 3x a day for a continously period of time. Being a doctor he should also know, that's she's most likely has a degree of tolerance to the med. And what he needs to do is inform the surgeon, anesthesiologist, and most of all the nurse(S), since they will be the ones adminstratoring the med under a doctor's orders. Can't they just work out a formula where by knowing the degree pain relief "Percocet" provides to a patient and knowing the degree of pain relief "Morphine" provides to a patient and then just factor in the tolerance "Probability Level"(which they can figure out by dosaged that was used and time it was used for prior to surgury) and come-up a dosage (most likely it would in range) that would be sufficient to relieve her pain post-operatively. I've never taken "Morphine" before, but isn't it suppose to be much more stronger then "Hydro"? And after giving her the appropriate dosage (according to all the factors mentioned above) and of course, the dosage will be higher then suppose another patient undergoing the exact same operation but has little or no tolerance, cuz she wasn't prescribed any narcotics prior to surgery or had no histroy of narcotic usage in her medical records. All the nurses would have to do afterwards is just monitor her vitals, especially the respiratory rates (the number of breaths per minute) before giving the "Morphine" and her respiratory rate after they dispensing the "Morphine", there should a slight decrease in respiratory rate but not a sharp decline and if there is that might be a problem. If she's a lucid then they can asking her verbally (in term, of pain-relief) by starting with a "pre-determined base-line dose" and then adjusting the dosage accordingly, depending on her responses. And of course have a another nurse stand-by with pre-filled syringe of "Narcan", to reverse the effects of narcotics, just to be on the same side. Or they can decide on a different med altogether, I've heard that "Methadone", "Demerol" "Dilaudid" and "Fentanyl" can compete and in some cases beat "Morphine's" in it's pain-relieving properties. It's kind of risky bringing-in you own meds, you don't know what they are actually giving "U", the nurse comes-in and injects something in your glucose bag and then leaves, there's a potentiality for a bad interaction or a overdose, if "U've" taken meds from the outside without them knowing. Okay, if "U" still want to bring meds from the outside then someone has to be there (not that they won't already be there anyway), who can inform them what the med was and how much "U" took, if (God forbid", something went wrong), so that they can take the appropriate preventative measures necessary. I'm sure the medical professionals see this in alot from their patients and already have system of dealing with it. Just to be straight-up and honest about it and let them worry about the details, you're there to re-cover and heal pain-free and they're there to make sure it happens. I'm not a doctor, but I think all that is needed is an adjustment in dose (Morphine or another narcotic, they do equilvency charts at their disposal) and continous monitoring both by the "Human element" and the "technology" with parameters already programed in place, to inform medical personnel of a problem, both with visual and audible cues, that will inform them immediately. Let's hope that will never happen anyway and all goes smoothly. GOOD LUCK on the surgery and your recovery afterwards.
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Some men see things as they are and say "WHY"!!
Some men see things as they are and say "WHY"!!
I've dreamt of things that never were, and say "WHY NOT"!!
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