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Mon, 11 Nov 2002 10:42:50 -0800

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In quite the opposite use, I have never used had to use an anti-emetic =
with MS. Nor Dilaudid.=20
In respect to Demerol, this drug actually can be given without an =
anti-emetic. It just needs to be given over 5 min.=20
Promethazine (phenergan) is such an annoying drug. For straight nausea =
it is useful. Unfortunately, many practitioners want to order it along =
with demerol. As a nurse what happens is that your patient is usually =
very sedated from the IV phenergan and still in pain.=20
Please...just treat the pain.=20

Laurie Grimes RN
ER

  ----- Original Message -----=20
  From: Dr. Abhishek Mitra=20
  To: trauma-list@trauma.org=20
  Sent: Monday, November 11, 2002 5:51 AM
  Subject: anti-emesis with morphine

  Dr. Shapira's suggestion really surprised me! I have never seen =
morphine being given without an anti-emetic. The standard dosage in =
India is to give morphine 10 mg or pethidine 75 mg with 12.5 mg of =
prochlorperazine or 25 mg of promethazine prophylactically. Of course, I =
have never seen anyone ever vomit, but I thought it was due to the =
anti-emetics. It would be interesting to find any publications in this =
regard.=20

  -Abhishek

  ________________________________________________

  The facts expressed above belong to everybody; the opinions to me. The =
distinction is yours to draw.

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<META http-equiv=3DContent-Type content=3D"text/html; =
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<STYLE></STYLE>
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<BODY bgColor=3D#ffffff>
<DIV><STRONG>In quite the opposite use, I have never used had to use an=20
anti-emetic with MS. Nor Dilaudid. </STRONG></DIV>
<DIV><STRONG>In respect to Demerol, this drug actually can be given =
without an=20
anti-emetic. It just needs to be given over 5 min. </STRONG></DIV>
<DIV><STRONG>Promethazine (phenergan) is such an annoying drug. For =
straight=20
nausea it is useful. Unfortunately, many practitioners want to order it =
along=20
with demerol. As a nurse what happens is that your patient is usually =
very=20
sedated from the IV phenergan and still in pain. </STRONG></DIV>
<DIV><STRONG>Please...just treat the pain. </STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<DIV><STRONG>Laurie Grimes RN</STRONG></DIV>
<DIV><STRONG>ER</STRONG></DIV>
<DIV><STRONG></STRONG>&nbsp;</DIV>
<BLOCKQUOTE=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A title=3Dadrenalinestat@yahoo.co.uk=20
  href=3D"mailto:adrenalinestat@yahoo.co.uk">Dr. Abhishek Mitra</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
title=3Dtrauma-list@trauma.org=20
  href=3D"mailto:trauma-list@trauma.org">trauma-list@trauma.org</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Monday, November 11, 2002 =
5:51=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> anti-emesis with =
morphine</DIV>
  <DIV><BR></DIV>
  <P>Dr. Shapira's suggestion really surprised me! I have never seen =
morphine=20
  being given without an anti-emetic. The standard dosage in India is to =
give=20
  morphine 10 mg or pethidine 75 mg with 12.5 mg of prochlorperazine or =
25 mg of=20
  promethazine prophylactically. Of course, I have never seen anyone =
ever vomit,=20
  but I thought it was due to the anti-emetics. It would be interesting =
to find=20
  any publications in this regard. </P>
  <P>-Abhishek</P><BR><BR>
  <P><FONT=20
  =
color=3Dred><STRONG>________________________________________________</STR=
ONG></FONT></P>
  <P><FONT face=3D"Arial Narrow" color=3Dblue size=3D3><EM>The facts =
expressed above=20
  belong to everybody; the opinions to me. The distinction is yours to=20
  draw.</EM></FONT></P>
  <P>
  <P><BR>
  <HR SIZE=3D1>
  <A=20
  =
href=http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2002-November/3D"http://uk.yahoo.com/mail/tagline_xtra/?http://uk.docs.yahoo.com/m=
ail_storage.html"><B><FONT=20
  face=3DArial size=3D2>Get a bigger mailbox -- choose a size that fits =
your=20
  needs.</FONT></B></A><BR></BLOCKQUOTE></BODY></HTML>

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anti-emesis with morphine