Mary Lynn McPherson
speaker
498 appearances
2 recordings
1 series
first heard Oct 2018
last heard Dec 2021
Mary Lynn McPherson’s voice in public audio — every appearance, attributed to the second.
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Appearances
available to bind to the immune receptor in the central nervous system.
So I think there's a lot going on.
I think the biggest admonition that I would share is if you have someone on transnermal fentanyl and you know in your heart this is just not working out, you don't go from twenty five to fifty to seventy five to a hundred and say, Well this isn't working.
I better take that hundred mic patch and I know that's equivalent to two hundred of oromorphine.
I'm just gonna switch to oromorphine.
You should never do that.
Go back to the last strength at work.
And if you can't find any strength that worked, pretend they were opio naive and start from scratch.
know.
Well, if somebody has a fever about a hundred and four or so, you can increase fentanyl absorption by thirty percent.
I think the biggest point to take home from that is I took care of a gentleman who was a construction worker and had a concrete ceiling collapse on him and obliterate his right hip.
So it was rebuilt, but it left him with horrible pain.
So he was on transdermal fentadyl for his pain, which he insisted on putting on the hip because I could not disavow him of the notion that the drug didn't actually get sucked right into his hip.
But the third day he ran out of steam.
So he said, Don't worry about it though.
I just put a heating pad over it and it all works out.
Well, I almost had a stroke.
So we do know that about twenty percent of people can't go seventy two hours.
So twenty percent of folks we've gotta go Q forty eight.
Well, you're still supposed to f give it a burial at sea.
Showing 321–340 of 498 · page 17 of 25
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