TacticalMedical Vs. Lucy topic Anal or Nasal Drugs

LooseCannon · Posted: Tue Dec 09, 2008 9:11 pm Post subject:

Lucy u gotta stop goin to school(sucks) for more degrees and start makin cash money millions bro. GlaxoSmithKlein cut u? They are dumb as shit. U should apply at JJ or Pfizer.

Philly in the hizzouse!

Lucy · Posted: Tue Dec 09, 2008 10:55 pm Post subject:

What can I say man, as much as I love to get fucked up, I also like schooling. As far as jobs go, I have a pending offer from Endo Pharmaceuticals. Only problem is they would want me to move for the job, and frankly im not sure I want to do that.

As much as I hate philly, I've also come to love it.

CorKy · Posted: Tue Dec 09, 2008 11:18 pm Post subject:

all i know, is that after i graduate, i'm getting the hell outta michigan. this state can suck my balls.
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tacticalmedic · Posted: Wed Dec 10, 2008 12:18 pm Post subject:

Lucy:
We can do all of our narcs intra-nasally. I love the look they get on their faces. Now that shits priceless!

I am always doing that which I can not do, in order that I may learn how to do it. Pablo Picasso

Lucy · Posted: Thu Dec 11, 2008 2:17 am Post subject:

You can or you do intra-nasally?

From my experience, its almost always been the case with narcs, such as demerol, fentanyl, and on rare occasions, methohexital, that an IV push is used, as opposed to intra-nasal.

Besides, short of a Intrathecal injection, i was under the impression that and IV push is the fasted delivery method?

tacticalmedic · Posted: Thu Dec 11, 2008 10:23 am Post subject:

It all depends on what is needed. For Fracture management, as long as there are no signs and symptoms of shock, intra-nasally is an accepted method of administration. For seizures, if you want to dick around with an IV, you can give Valium, but if you don't want to dick with an iv, you can give Versed im. Now of course, if the patient is having seizures, I wouldn't recommend giving anything via nasal route. There is of course the option to give the Valium via rectal route, but I reserve that for hot chicks and milfs only, and so far I haven't done that and I have been in this field for 13 years.

Electricity is actually made up of extremely tiny particles called electrons, that you cannot see with the naked eye unless you have been drinking. Dave Barry

Lucy · Posted: Sat Dec 13, 2008 8:39 am Post subject:

Lol @ rectal valium.

The only time I ever had to use methohexital push was just prior to op on a chronically violent schizophrenic. god knows how, he manged to get out of the restraints and went directly for the closest attending. anesthesiologist stood there like an idiot, so I jumped and hit him with the methohexital, 2mg push. And down he went.

Everyone cheer for the intern!

I imagine with our different fields (you sound more like war medic) its not surprising we see different methods.

then again, i've seen EMT's almost kill a PT by tripple dosing them on demerol.

tacticalmedic · Posted: Sat Dec 13, 2008 12:35 pm Post subject:

Actually I did totally different things in the service. Just a street medic is all I am.
Unsure what state allows EMT's to push Demerol. It isn't in any of listed protocols that I could find online. NY does allow EMT's to use the patients own nitro tabs, and albuterol and epi -pens. That's it for medications. Paramedics on the other hand can use far more, but I can't link the formulary due to it being a word document.

And sorry to the rest of the board for hijacking this thread.

Whenever you hear the consensus of scientists agrees on something or other, reach for your wallet, because you're being had. Michael Crichton

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tacticalmedic · Posted: Sat Dec 13, 2008 3:40 pm Post subject:

LMAO!

In three words I can sum up everything I've learned about life: it goes on. Robert Frost

Lucy · Posted: Sat Dec 13, 2008 3:49 pm Post subject:

my apologies for hijacking the thread as well. It's always nice to find another medical nerd to thrown jargon at to make us both sound smart on the internet Very Happy

Frankly I dont see it as a "vs" type thing, just a regional difference in critical care protocol. Can't wait to catch you in game, should be some good stuff.

A funny side note: both local docs and pharmacists in the area have been apparently reluctant and reducing the amount of and count of adderall tables and gels as its that finals time of year. shame for Duramed and Shire pharmecuitcals, I'm sure this is one of the best quarters of the fiscal year hahah