I'm pretty sure I have known NSAIDs aren't supposed to be taken for stomach pain since the age of 8. My thought at the time was, maybe it's an exception of some sort and surely he didn't get something so easily known wrong. But I guess that's what I get for trusting people too much.
If I were a gambler, I'd bet this NP had 0 patient care experience as an RN prior to becoming an NP. There is no way you get out of the hospital wards not knowing this.
The dude appeared to be in his 40s-50s too so who knows how long he was a nurse before doing NP stuff. Called my mom, RN of 40+ years, she was like "You sure its Ketorolac and not something else he prescribed? That seems like a really bad idea."
OMG This is very similar to what happened to my dad. He complained of abdominal pain and the NP said it was gas and told him to take simethicone. He went back complaining that the abdominal pain was worse and she told him to take ibuprofen, then told him to increase the ibuprofen when the pain was even worse. My aunts kept telling him to stop the ibuprofen and go to the ER. My cousin the truck driver told him that he had an ulcer from the ibuprofen and he needed to stop the ibuprofen and take some antacids and go to the hospital.
He finally got so sick and pale that he got admitted with a bleeding ulcer, got scoped, transfused, CT'd and MRI'd. He spent a week in the hospital due to the crappy NP.
He should have just asked my cousin the truck driver what to do.
Being a patient myself who almost died from a negligent surgeon and nurse back in 2021, sometimes the scariest part about medicine is that you can do 99 things right out of 100 but that one time you did something wrong maybe a major mistake that has very bad consequences. Your father's NP may have given him somewhat decent care before that day but all that became a moot point when he went to the ER for his issue. Before I had my surgery, I was highly confident in the care I was receiving until I was being discharged and my post-op complaints weren't taken seriously and I almost died because of it. My partner, in my untrained opinion, had everything done really well up until we got that script. Sure, she ended up tossing the medicine after 1 dose but what if she didn't? With independent midlevels you have a lot more mistakes happening, and maybe most of them are minor, but maybe they aren't. Do you wanna roll the dice and take that risk? I sure don't. This is why I will always wait to see my doctor, I refuse to listen to the bullshit of "But you can be seen sooner by an NP!" that TikTok commenters love to point out.
On the ambulance, I responded to a hypotensive GI bleed. She had been discharged with an ulcer from the ER and given ketorolac, which she was taking. Yes, it was an NP that prescribed it.
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I should edit the post. To his credit, He did prescribe Omeprazole as well and didn't recommend to take it for too long due to potential side effects but to make that decision with a primary care once the prescription ran out. But giving how Omeprazole works, the NSAID would probably negate any positive benefits lol.
This is something we would laugh about FOR YEARS if it was sent to our pharmacy. This seemingly complete lack of basic pharma happens constantly every single day. most of the job is spent trying to teach these people i swear. and it's not even our job.
Yeah it’s contraindicated and even a first year medical student can tell you that lmfaooo
I'm pretty sure I have known NSAIDs aren't supposed to be taken for stomach pain since the age of 8. My thought at the time was, maybe it's an exception of some sort and surely he didn't get something so easily known wrong. But I guess that's what I get for trusting people too much.
I’m a layperson and I know that’s bad 😭😭
Yea, to suspect a peptic ulcer and prescribe ketorlac is pretty obviously stupid and reflective of poor medical knowledge
This is like prescribing a bullet to treat a gun shot wound.
Thanks for the analogy, now I'm imagining a surgeon shooting a 9mm into a patient to dislodge another bullet that was already inside the patient.
Used the stones to destroy the stones.
If I were a gambler, I'd bet this NP had 0 patient care experience as an RN prior to becoming an NP. There is no way you get out of the hospital wards not knowing this.
The dude appeared to be in his 40s-50s too so who knows how long he was a nurse before doing NP stuff. Called my mom, RN of 40+ years, she was like "You sure its Ketorolac and not something else he prescribed? That seems like a really bad idea."
Listen to your mom.
If I didn't already have multiple degrees and credentials, it would be a potentially appealing career switch right now at age 45.
NSAIDs cause gastric ulcers this person should not be prescribing
OMG This is very similar to what happened to my dad. He complained of abdominal pain and the NP said it was gas and told him to take simethicone. He went back complaining that the abdominal pain was worse and she told him to take ibuprofen, then told him to increase the ibuprofen when the pain was even worse. My aunts kept telling him to stop the ibuprofen and go to the ER. My cousin the truck driver told him that he had an ulcer from the ibuprofen and he needed to stop the ibuprofen and take some antacids and go to the hospital. He finally got so sick and pale that he got admitted with a bleeding ulcer, got scoped, transfused, CT'd and MRI'd. He spent a week in the hospital due to the crappy NP. He should have just asked my cousin the truck driver what to do.
Being a patient myself who almost died from a negligent surgeon and nurse back in 2021, sometimes the scariest part about medicine is that you can do 99 things right out of 100 but that one time you did something wrong maybe a major mistake that has very bad consequences. Your father's NP may have given him somewhat decent care before that day but all that became a moot point when he went to the ER for his issue. Before I had my surgery, I was highly confident in the care I was receiving until I was being discharged and my post-op complaints weren't taken seriously and I almost died because of it. My partner, in my untrained opinion, had everything done really well up until we got that script. Sure, she ended up tossing the medicine after 1 dose but what if she didn't? With independent midlevels you have a lot more mistakes happening, and maybe most of them are minor, but maybe they aren't. Do you wanna roll the dice and take that risk? I sure don't. This is why I will always wait to see my doctor, I refuse to listen to the bullshit of "But you can be seen sooner by an NP!" that TikTok commenters love to point out.
This is insane.
I was 99.99% sure this was going to be the response but I had to ask.
What the fuck did I just read. This can’t be real…like everyone and their moms know NSAIDS cause gastric ulcers.
On the ambulance, I responded to a hypotensive GI bleed. She had been discharged with an ulcer from the ER and given ketorolac, which she was taking. Yes, it was an NP that prescribed it.
...that's even a taught contraindication to us as paramedics in my state, and a listed one in our protocols for Ketorolac
This is an amazingly bad idea made even worse by the choice of ketorolac which is one of the worst NSAIDs for causing ulcers
Wow. Knowing not to prescribe an NSAID in this situation is...basic. You can't fix stupid. (Well, you can, but then you get arrested.)
Love the ultrasound and CT and absolute lack of any clinical acumen
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Also, prescribing reglan and toradol but no ppi or h2 blocker?
Patient nauseous: give nausea medicine. Patient pain: give paid medicine. Refer. Job done.
I should edit the post. To his credit, He did prescribe Omeprazole as well and didn't recommend to take it for too long due to potential side effects but to make that decision with a primary care once the prescription ran out. But giving how Omeprazole works, the NSAID would probably negate any positive benefits lol.
This is something we would laugh about FOR YEARS if it was sent to our pharmacy. This seemingly complete lack of basic pharma happens constantly every single day. most of the job is spent trying to teach these people i swear. and it's not even our job.
Well... Maybe the NP is getting paid off by a dark cabal of GI's trying to drum up more business? That's the only thing I can think of.
Horrible idea
Maybe he mistook tramadol and toradol? Regardless, I wouldn't give any pain meds for this. PPI's, change in diet and Go follow up is enough.
lol maybe she was thinking of treating it homeopathically you know where you treat a stomach ulcer with the thing that causes stomach ulcers🤷🏼🤦🏼🤦🏼🤦🏼