Tuesday, September 16, 2014

That should do it

Seen yesterday afternoon in a hospital chart:






For non-medical readers: the effective sedating dose of Valium is typically 5mg-10mg.
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23 comments:

  1. AnonymousSeptember 16, 2014 at 8:07 AM

    Maybe you were rounding at the zoo and the patient was an elephant?

    Just trying to give the prescriber the benefit of the doubt.

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  2. CandiSeptember 16, 2014 at 8:43 AM

    PLEASE tell me you did something about it.

    Besides the smack upside the head they deserve. :p

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  3. PamSeptember 16, 2014 at 9:24 AM

    Why don't you just hit her with a brick instead?

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  4. BendySadnessSeptember 16, 2014 at 9:26 AM

    I hope that was meant to be 30mg? For someone who already takes it maybe?
    I wonder what the lethal dose is.

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  5. PackerSeptember 16, 2014 at 9:41 AM

    For whom ? Patient or Nurse.

    Today class we will learn the importance of decimal point placement.

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  6. bluetoothbuddhaSeptember 16, 2014 at 9:55 AM

    Said the vet looking after my pet elephant.

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  7. AnonymousSeptember 16, 2014 at 10:01 AM

    "In the interest of time, patient has been prophylactically intubated."

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  8. bobbieSeptember 16, 2014 at 1:11 PM

    Anon @ 10:01 ~ Amen!!!

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  9. AnonymousSeptember 16, 2014 at 3:42 PM

    I know some pet owners from work who I'd like to dose up like that. It sure would take the edge off MY day...

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  10. The Patient DocSeptember 16, 2014 at 4:20 PM

    I think some patients need it. I know I do after doing prior authorizations on the phone.

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  11. RonnaSeptember 16, 2014 at 4:30 PM

    A competent medical transcriptionist (such as myself) would have flagged that for the dictator!!! Anyone need a compentent medical transcriptionist?!

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  12. AnonymousSeptember 16, 2014 at 5:42 PM

    "What can I do, that's the size they sell at Costco."

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  13. a.generic docSeptember 16, 2014 at 7:57 PM

    Was the order signed by Dr. Kevorkian?

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  14. RehabRNSeptember 16, 2014 at 8:32 PM

    Oh my!

    Grumpy hopefully the nurse politely got him/her to rewrite this one.

    Maybe if we were giving it to 30 (or more) people, but...

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  15. AnonymousSeptember 17, 2014 at 12:24 AM

    what's sad is that teens taking "bath salts" often come in in status (unremitting seizures) the average dose of IV valium to bring them out is 400mg. Even my druggie inmate patients wee astounded.

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  16. JillianSeptember 17, 2014 at 3:30 AM

    Just how big was the patient?

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  17. Knot TellingSeptember 17, 2014 at 8:17 AM

    "To try and keep her calm I will start Valium, 300mg prn" - am I the only one who thinks this sounds like a line from a mad scientist's journal?

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  18. AnonymousSeptember 17, 2014 at 10:11 PM

    Obviously just the attempt to keep her calm is going to require the fictional whole bottle of Valium 10 mg or 5s by the practitioner. All it takes is one tablet, but waving that bottle around in the air might help.

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  19. ShellyeSeptember 18, 2014 at 11:08 AM

    And I thought 10mg was pushing it. That patient would sleep forever on 300mg.

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  20. RageDinoSeptember 18, 2014 at 2:44 PM

    I feel like I could use this some days.

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  21. cliffintokyoSeptember 19, 2014 at 9:51 AM

    Maybe that should have been 300ml of a placebo admin iv into the butt; that would surely keep her quiet for a while....
    On the other hand, perhaps this lady will be visiting the Wizard of Ozzz on her way to Never-Never land.....

    ReplyDelete
  22. AnonymousSeptember 19, 2014 at 7:56 PM

    Reminds me of getting an inpatient lumbar puncture, on a local teaching hospital neurology unit, to diagnose MS five years ago. Told the resident that I needed to be drugged into oblivion. He obliged with oral valium and then IV Ativan. No clue of the doseage, but I slept for over 18 hours afterward. Docs did not bother to round in the morning as I was totally snowed. On the other hand, I DID survive said LP resplendant with many oligoclonal bands and whee untreatable, primary progressive MS. It was a breeze though and totally painless, have to say. The miracle of benzos.

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  23. Ye Olde Clap ChaserSeptember 20, 2014 at 10:48 AM

    Another scrip PLEEEEESE.............
    After 40+ years of STD cha.sing I am entitled

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So wadda you think?