[optimal] Re: optimal Digest V2 #111
- From: Ray Gardner <raygardner99@xxxxxxxxx>
- To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>
- Date: Sat, 18 Jun 2011 23:03:47 -0500
I just error on the side of caution. I've worked in the Naval Hosp for four
years, two different labs, was an office manager of a medical clinic twice and
six and soon seven different retina doctors. I've seen too many bad things
happen in and out of retina. It's been a life saving tool to may times leaving
the line in on new patients and those with past allergic reaction. Severe
allergic reaction will most likely show up within the first two minutes but not
always. Sometimes it will appear minutes later. Oral benadryl takes up to 30
minutes to activate. Under the supervision of my MD's we are given the standing
order to give IV benadryl starting with 25mg or half of the 1st bottle. If more
is required we have waited at least 5-10 minutes before giving another 25mg IV.
IV benadryl activates in seconds instead of 30 minutes. This can only be done
in states that allow photographers can do their own injections and if your MD's
feel comfortable with it. It's saved a few lives in my time.
Sent from my iPhone
On Jun 18, 2011, at 9:02 PM, Jim <jsoque@xxxxxxxxxxx> wrote:
> I used to do the same as Alexis, until I heard Ethan speak in Seattle. Now
> all my patients get a 2cc flush of 0.9 % NaCl before I remove the needle. I
> wait until after my earlies are over to pull out the butterfly, so, 1 min
> plus, is my answer....
> Jim
>
> Sent from my iPhone
>
> On Jun 15, 2011, at 1:08 AM, FreeLists Mailing List Manager
> <ecartis@xxxxxxxxxxxxx> wrote:
>
>> optimal Digest Tue, 14 Jun 2011 Volume: 02 Issue: 111
>>
>> In This Issue:
>> [optimal] Re: When to remove needle
>> [optimal] Re: When to remove needle
>> [optimal] Re: When to remove needle
>> [optimal] Michael Elrod is out of the office.
>>
>> ----------------------------------------------------------------------
>>
>> From: Ethan Priel <prieleye@xxxxxxxxxxxxxxxx>
>> Subject: [optimal] Re: When to remove needle
>> Date: Tue, 14 Jun 2011 08:43:45 +0300
>>
>> Uh, many of our patients are on all kinds of anticoagulants, blood thinners
>> and what not.
>>
>>
>> It is a 'nice touch' to have them say next time –
>>
>> ' you know, this is the only place I did not have a large black and blue
>> mark after the blood test'…
>>
>>
>>
>> Ethan
>>
>>
>>
>> From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On
>> Behalf Of Ray Gardner
>> Sent: 14 June, 2011 00:19
>> To: optimal@xxxxxxxxxxxxx
>> Subject: [optimal] Re: When to remove needle
>>
>>
>>
>> Why apply pressure to injection sight when you can use a pressure patch.
>> After the transit phase I use 2x2 folded twice, apply light pressure, pull
>> needle out, the with tranpor tape pull skin tight and stick it down. Take
>> about a half a second or so.
>>
>> Sent from my iPhone
>>
>>
>> On Jun 9, 2011, at 3:43 PM, Alexis Smith <alexis@xxxxxxxx> wrote:
>>
>
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