Friday, October 31, 2008

Know your meds

Perfect shift yesterday. Ran a full day with 2 fires and then slept all night. How much better can it get? Medically we ran a cardiac arrest then the typical sick kid calls. I have been running into a lot of Lisinopril reaction calls.

Lisinopril is an ACE-inhibitor medication used to treat hypertension, and post heart-attack patients. Some people, whether they've been on the medication for 5 days or 5 years will just one day have a severely swollen tongue. There are generally no other symptoms but it is considered life-threatening as their tongue can swell so much it can occlude their airway. While we treat it as an allergic reaction and admin Benadryl per protocol, Benadryl doesn't reverse the reaction as in normal allergic reaction patients. All we can do is manage their airway and admin fluids and wait til the residual Lisinopril filters from their system. It never ceases to amaze me how many MD's do NOT talk with their patients about this common and dangerous side effect. There have been many patients who have died because they couldn't breath. As am I'm always carrying on about... PLEASE.... question your doctors. About everything! Do some of your own research. While you may think your MD is great, he still may have only gotten a 70 on his final exam.

So, Halloween is here. We are heading over to a friends house for a Halloween party. Dont want to scare the baby so I'm making it easy. I'm dressing as a hippie and Aiden will be my hippie baby. Hope you have a safe and happy night tonight with your kids and families.

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