If a long-suffering be on the Liverpool concern pathway, how you treat a warmth (pyrexia)?
As a student nurse, I am currently writing about a patient who was on the liverpool attention pathway, and he was unconscious, the patient spiked a warmth which distressed his wife but doctors refused to give him paracetamol...
What would you have done? do you agree? Is nearby any any websites you know i can get information from?
I will choose a best answer
thanks xxx
Answers:
If the patient is have a bit of a temperature, this is not an indication to treat this by itself. The pyrexia is simply the body's reaction to something which is triggering this response.
If the physicians are refusing to donate the patient paracetamol, it's likely for good judgment, and as a nurse I'd not supersede their instructions.
I am not familiar with the Liverpool Care Pathway. However, I did a search and read somewhat about it. It seams as if this is a protocol for treating end of time patients. I did find an interesting article that explains that you treat the patient for comfort. The patient would be treated for pain, anxiety, diarrhea, hiccups, difficulty breathing etc. Treating a disorientation was not appropriate according to the source. I am going to try to include the link to the article. In this case, it sounds as if giving an antipyretic would be certainly treating his wife and not actually in the best interest of the patients end of energy comfort care. Maybe placing a fan at the bedside and cool cloths to forehead and use of icepacks would be acceptable non-invasive treatments; these simple interventions might enjoy made the wife a little less anxious. Source(s): http://www.agpn.com.au/client_images/98918.pdf
Kayle's answer is a bit frightening. Although as a nurse, you cannot prescribe medication, you are required by law and nouns to know exactly what you are administering.
If you administer a drug that is inappropriate or at the wrong dose or route you WILL be held legally and morally responsible. It is the nurse's work to make sure that what is prescribed and subsequently administered to the patient is the correct drug, at the correct time, correct dose, correct route and correct patient. You are required to superscede a doctor if the a drug is incorrectly prescribed and prohibit to administer it.
I would expect that they didn't want to give the paracetamol because they wanted to determine the cause of the pyrexia. And i.e. rather difficult to determine if the pyrexia, and not the underlying cause, is treated.
As our role is to be a patient advertiser, and if I did not understand why this medicaton was inappropriate I would do a few things: Review the BNF to net sure there wasn't a contra-indication that I was not aware of; I would contact the pharmacy for further information; I would then ask the doctor to explain both to me and the relative. I would document adjectives of this.
Meanwhile, I would be doing other things to make the patient comfortable and relieve the issues with the pyrexia: cool flannels, disciple, mouthcare, (ensuring fluids are given IV at appropriate rate), loosening pyjamas, covers etc.
Oh yes! And I would clarify orders for blood cultures--the doctor may not want paracetamol until the blood cultures are done. Need to make sure that this is documented in the proceedings and when he wants them collected. Source(s): I teach nurses
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What would you have done? do you agree? Is nearby any any websites you know i can get information from?
I will choose a best answer
thanks xxx
Answers:
If the patient is have a bit of a temperature, this is not an indication to treat this by itself. The pyrexia is simply the body's reaction to something which is triggering this response.
If the physicians are refusing to donate the patient paracetamol, it's likely for good judgment, and as a nurse I'd not supersede their instructions.
I am not familiar with the Liverpool Care Pathway. However, I did a search and read somewhat about it. It seams as if this is a protocol for treating end of time patients. I did find an interesting article that explains that you treat the patient for comfort. The patient would be treated for pain, anxiety, diarrhea, hiccups, difficulty breathing etc. Treating a disorientation was not appropriate according to the source. I am going to try to include the link to the article. In this case, it sounds as if giving an antipyretic would be certainly treating his wife and not actually in the best interest of the patients end of energy comfort care. Maybe placing a fan at the bedside and cool cloths to forehead and use of icepacks would be acceptable non-invasive treatments; these simple interventions might enjoy made the wife a little less anxious. Source(s): http://www.agpn.com.au/client_images/98918.pdf
Kayle's answer is a bit frightening. Although as a nurse, you cannot prescribe medication, you are required by law and nouns to know exactly what you are administering.
If you administer a drug that is inappropriate or at the wrong dose or route you WILL be held legally and morally responsible. It is the nurse's work to make sure that what is prescribed and subsequently administered to the patient is the correct drug, at the correct time, correct dose, correct route and correct patient. You are required to superscede a doctor if the a drug is incorrectly prescribed and prohibit to administer it.
I would expect that they didn't want to give the paracetamol because they wanted to determine the cause of the pyrexia. And i.e. rather difficult to determine if the pyrexia, and not the underlying cause, is treated.
As our role is to be a patient advertiser, and if I did not understand why this medicaton was inappropriate I would do a few things: Review the BNF to net sure there wasn't a contra-indication that I was not aware of; I would contact the pharmacy for further information; I would then ask the doctor to explain both to me and the relative. I would document adjectives of this.
Meanwhile, I would be doing other things to make the patient comfortable and relieve the issues with the pyrexia: cool flannels, disciple, mouthcare, (ensuring fluids are given IV at appropriate rate), loosening pyjamas, covers etc.
Oh yes! And I would clarify orders for blood cultures--the doctor may not want paracetamol until the blood cultures are done. Need to make sure that this is documented in the proceedings and when he wants them collected. Source(s): I teach nurses
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