Archive for Drugs – Page 2

Drugs, Doses, Dread & Delivery Options

pills

Around breakfast time, I usually shake out several pills into the palm of my hand . . .

The nurse arrived and sat beside my mother in the dimly lit hospital room.

One of the first things he said was, “This won’t hurt.”

He lied.

He was there to place a peripherally inserted central catheter (PICC, or “pick”) into Mom’s upper right arm. She’d been offered Dilaudid—a brand name for hydromorphone, a narcotic stronger than morphine—for pain management. The medication would be housed in a CADD pump (Computerized Ambulatory Drug Delivery) connected to her PICC line. The linked pump and the catheter would give a predetermined, regular amount of medication to ease her physical agony. A “button” could be pressed on the CADD pump for additional dosages.

Are your eyes glazing over with all the medicalese?

Mom’s body was riddled with cancer and the two surgeries undertaken to “relieve” discomfort had added complications. As I calmly write this three years after her death, I understand why she said “Yes” to that PICC line: she wanted the wrenching pain to end and she was ready to die.

But the nurse, who seemed rightly weary in the near midnight hour when he entered Mom’s room, first caused more pain.

He swabbed her arm with disinfectant and inserted a needle.

She grimaced.

I held her left hand. Watching her tore my heart apart. Read More →

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In Hospice: Should You Titrate?

What does titrate mean?

What does titrate mean?

Until working in hospice, and hanging around nurses and doctors, I’d never knowingly heard or used titrate in a sentence.

With no medical or chemistry background, I have darn good excuses for my ignorance.

In a patient care meeting, when a nurse asked a doctor about titrating the new medication for a patient, I’d keep a straight face. I’d maybe give a brief neutral nod, and then hoped there wouldn’t be a snap quiz after the coffee break.

Fortunately, while ignorant of many things, I’m equally curious about nearly everything! I own bunches of dictionaries and thesauruses! I can search the web! I can ask a nurse!

I eventually asked a nurse. Talking to a nice person is far better than aiming the dusty magnifying glass at a page in my Compact Edition of the Oxford English Dictionary. The definitions are printed in fonts so tiny an eagle would struggle to read a sentence.

So a friendly RN told me that many drugs should be titrated whenever introduced or discontinued as part of a patient’s care. In other words, she explained with a kind smile, there should be a gradual increase or decrease in the dosage over a period of time.

Why? Read More →

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Haldol

I’m not a medical expert.image015

I’m not a medication expert.

I know next to nothing about drugs.

I have never met a pill I wanted to take.

Is that blatant enough about my ignorance so my next thoughts are taken with a grain of salt? Nay, not a mere grain. Instead imagine an overflowing wheelbarrow of Morton’s when-it-rains-it-pours overpriced sodium!

Since I’ve confirmed my lack of qualifications, let me share a few biased opinions about . . . Read More →

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