Home Editor's Picks Study: Dilaudid Administration Directly Correlates with High Patient Satisfaction; Narcan Not So Much

Study: Dilaudid Administration Directly Correlates with High Patient Satisfaction; Narcan Not So Much

The Pannus
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Study: Dilaudid Administration Directly Correlates with High Patient Satisfaction; Narcan Not So Much

BOSTON, MA – As many doctors and nurses have discovered the hard way, a recent study published in the New England Journal of Medicine elucidated the seemingly perfect linear relationship with Dilaudid administration and Press Ganey score until the point of respiratory depression obligating Narcan.  Per patient report, after this point, the patient’s high is completely ruined (as are the chances that the MD or nurse get a reasonable Press Ganey score from these particular patients).

dilaudid graph

Specific feedback was requested in survey form and the following responses touch on the most common themes:

“I mean, I was fine; that a**hole doctor totally crushed my high.”

“Seriously, I was fiiiinnneeeee.”

“I’m not even mad.  That was some good stuff, and now I’m sober enough to drive to Grandma’s house to get some food.”

Thus, emergency physicians and nurses hoping to fund their next trip to Hawaii by boosting their Press Ganey scores should be aware that they are playing with fire.  A single dose of Narcan is all that is required to completely kill a patient’s perfectly good buzz and that Hawaii trip.

Be sure to check out other great articles from this author’s page at The Pannus.

59 COMMENTS

  15. I had a patient brought in who had stopped breathing from a heroin overdose. I gave him narcan he came to, looked around stared breathing and asked what happened. When I told him I gave him Narcan he told me he was allergic to Narcan. I asked him what happened when he had Narcan before and he actually to,d me “it took my high away” so I asked him if he stopped breathing again should I not give him Narcan and let him die and he said “YES, don’t you know what allergic means?”

  22. Dianna remember when we had that class and they told us to dilute 0.4 mg in 10 ml NaCl and push it over 5 minutes…..all the ed nurses in the class started laughing

  24. I finally got to use it. Resulted in explosive diarrhea… so thAt plus the angry addict made for quite the adventure. Guess I could have gotten diarrhea and projectile vomiting… so guess 2 out of 3 was a good deal!!!

  25. I finally got to use it. Resulted in explosive diarrhea… so thAt plus the angry addict made for quite the adventure. Guess I could have gotten diarrhea and projectile vomiting… so guess 2 out of 3 was a good deal!!!

  48. Really??? Really ?? gee, i would have NEVER put those ideas together!!!! yes indeed….. people get really pissed when the CFD brings them in and we give a REAL jolt of Narcan…none of that .4 mg, but the whole 2 mg IV !!!!!!!!!!

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