Maggie’s Funny & awesome pics, vids and memes thread (work safe, no nudity)
- Thread starter Lawless
- Start date
And in other news… David Attenborough is now in the hospital in rooms 43, 44 and 46…
Sirhr
Alcohol drip IV for DTs?
She gonna need it!!
Or, just a standing order for 2 martinis for lunch, 3 for supper, and the rest of the bottle to take a drink straight PRN for the rest of the evening.
at my place, we are using phenobarb (not coma dose) in IV push doses.
Some even starting early with low dose for those known to WD, supposed to lessen the severity.
Overall, seems to work quite well and have less of the undesired side effects of ativan or valium.
Or, just a standing order for 2 martinis for lunch, 3 for supper, and the rest of the bottle to take a drink straight PRN for the rest of the evening.
at my place, we are using phenobarb (not coma dose) in IV push doses.
Some even starting early with low dose for those known to WD, supposed to lessen the severity.
Overall, seems to work quite well and have less of the undesired side effects of ativan or valium.
I'm old enough to remember alcohol drips at the VA...
I have heard of them.
Never ran one.
Guess Im not as “ancient” as my 12 yr old says!!!
But you just might be!!
And the VA held on to “old time” practices much longer than other private institutions it seems.
They were likely the last place using those.
My grandpa died in a VA hospital of lung CA. I think they just let him have Chivas at that time to keep him mellow and happy. From the sounds of it, hospice care was terrible back then.
Smokes in the rations in WWII and he never quit.
For us, it was valium or ativan IVP for a long time.
Precedex came around and works for a drip in the ICU.
The pheno works great in the ER where you might have 2 ICU pts and 1-3 other pts. Q30 assessments get hard, as we dont have staff to keep at a 2:1 ratio when we are waiting for beds……
Really!! Woods VA hospital.
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Review
Pharmacotherapy
. 2004 Nov;24(11):1578-85.
doi: 10.1592/phco.24.16.1578.50945.
Intravenous ethanol for the treatment of alcohol withdrawal syndrome in critically ill patients
Brian Hodges 1, Joseph E MazurAffiliations expand
- PMID: 15537562
- DOI: 10.1592/phco.24.16.1578.50945
Abstract
Critically ill patients with alcoholism are at greater risk of morbidity and mortality from alcohol withdrawal syndrome than are patients without alcoholism. Benzodiazepines are considered the drugs of choice for the prevention and treatment of alcohol withdrawal syndrome, but some studies have suggested that intravenous ethanol may be as effective as those agents, as well as being less sedating. We evaluated the evidence regarding the use of intravenous ethanol for the prevention and treatment of alcohol withdrawal syndrome in critically ill patients in order to determine its role in this patient population. Because of the paucity of well-designed clinical trials, and because of intravenous ethanol's questionable efficacy, inconsistent pharmacokinetic profile, and relatively narrow therapeutic index, routine use of this drug is not recommended in critically ill patients who have alcohol withdrawal syndrome or are at risk for it.PubMed Disclaimer
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- Alcohol withdrawal syndrome: how to predict, prevent, diagnose and treat it.
[No authors listed]Prescrire Int. 2007 Feb;16(87):24-31.PMID: 17323538 - An ethanol protocol to prevent alcohol withdrawal syndrome.
Dissanaike S, Halldorsson A, Frezza EE, Griswold J.J Am Coll Surg. 2006 Aug;203(2):186-91. doi: 10.1016/j.jamcollsurg.2006.04.025. Epub 2006 Jun 22.PMID: 16864031
2004 is in my time frame.
Not VA, private catholic hospital.
And we had plenty of them in WD on the cardiac unit.
Post MI
Post cath
Post CABG (or valve).
Not VA, private catholic hospital.
And we had plenty of them in WD on the cardiac unit.
Post MI
Post cath
Post CABG (or valve).
That shows you just how evil women can be. Hope the bitch falls in the water and drown for doing something as nasty as that.
That paper was pretty much the end to IV Ethanol. My VA experience was early 1990s.
We also used a lot of vitamin H (Haldol) for anyone combative in the ICU, even to the point of cardiotoxicity (torsades de pointes -my first cardioversion!). After six such patients, it was finally written up...
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Gingerbread icing is better straight from the tube
And shark sleeping bags and a movie make a good evening
And shark sleeping bags and a movie make a good evening
where i was a bunch of ativan,usually drip or librium push. iv etoh i only ever saw for slowing labor. don't know much there. never did L&D. never wanted to be near that mess. paraldehyde was a go to in several diff settings.
There goes the roof on a gingerbread house!
@Lawless , my son is now married, and I can’t wait for grandkids. I see all the fun you guys are having, and it makes me look so forward to it. Keep up the good work!
Brother it is the most fun you’ve ever had. As you get older you begin to think about your legacy, what you’re going to leave the world with. For me, I want to put all of my knowledge and skill into that little dude so he won’t have to start so far behind as I did.
Having fun doing it is a requirement
I agree. Got 8 grandyounguns and I get spread pretty thin at times.Brother it is the most fun you’ve ever had. As you get older you begin to think about your legacy, what you’re going to leave the world with. For me, I want to put all of my knowledge and skill into that little dude so he won’t have to start so far behind as I did.
Having fun doing it is a requirement
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One last hura in pay to play schemes inherent to US presidency , lets be honest Clinton's made it to near billionares , all others following continued the practice including Trump ,who also gave out some pardons to crooks
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