This blog is meant for Porter ED providers to share knowledge about anything they might have learned at conferences, workshops, etc. or through experience, that the rest of us might find helpful. Even links to other websites or useful journal articles.
I'll give an example here.
My usual migraine cocktail (for people without "allergies" to Toradol, Reglan, water, all narcotics except Dilaudid, etc.) consists of (all medications given IV):
Toradol 30 mg
Reglan 10 mg
Benadryl 25-50 mg
Dexamethasone 10 mg +/- NS 1 L
Recently I discussed a case of complex migraine (headache + focal neuro s/s) with the attending neurologist at UVMMC who recommended for refractory migraine adding 1 gm Magnesium Sulfate IV. This wasn't something I've used before, but I've added it to my cocktail ingredients as a (+/-). Too early in the game to conclude if it makes a big difference or not, but it's worth a try (assuming reasonable renal function)!
Add to the list of the many uses for magnesium!
Hope this is new and/or useful to at least some of you. Feel free to share what works for you for your migraine patients.
Recently I discussed a case of complex migraine (headache + focal neuro s/s) with the attending neurologist at UVMMC who recommended for refractory migraine adding 1 gm Magnesium Sulfate IV. This wasn't something I've used before, but I've added it to my cocktail ingredients as a (+/-). Too early in the game to conclude if it makes a big difference or not, but it's worth a try (assuming reasonable renal function)!
Add to the list of the many uses for magnesium!
Hope this is new and/or useful to at least some of you. Feel free to share what works for you for your migraine patients.
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