Reply to Hospital gave FIL Narcan after administering too many pain meds...

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]Nurse here who has given Narcan a few times, none due to medical negligence.  And I'm certainly not one to say negligence doesn't occur, as I've seen it first hand.

All the experiences I've had given it have been for reasons 2358 stated.  They've been given an appropriate dose, maybe on the high end of appropriate but still ok, but are too sedated.  I've never had to give it for respiratory distress, all the times have been basically because a patient becomes so sedated they aren't responding appropriately.  Managing post op pain in elderly can be difficult.

I wouldn't immediately jump to medical negligence or respiratory problems. What he should do is request all his records so he has drug, dose, and time administered. [/quote]
What does “intended side effects of narcotics” mean? If I’m reading your post correctly 2358’s unintended reference is what you’re saying where a patient receives the appropriate dosage but for whatever reason doesn’t respond well.

Also, if a patient is too sedated, are they not able to eventually come out of that state on their own?

TIA.[/quote]

It’s not that the patient isn’t responding “well” per se it’s just whether the intended effect is achieved. Say morphine is administered to take the edge off of some pain but the effects are stronger than anticipated and the patient is falling asleep and totally out of it. It’s not that it’s bad or dangerous but the patient doesn’t need to be so sedated and so the effects need to be reversed. Sure, they would eventually come out of it on their own but that might not be ideal for whatever reason. [/quote]

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