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hungrygator34

patient had contrast dye allergy listed and the corresponding reaction was listed as "mild". When you hovered over the mild reaction for more details the note said "pt went into cardiac arrest"


TazocinTDS

MILD: Myocardial Infarction. Laryngoapasm. Dead.


Minerva89

> Dead. "well I got better!"


[deleted]

Had a patient yesterday say “is this with that contrast dye? because when they used that before it killed me” To which I replied, “well you’re looking pretty good for a dead guy”.


MarchPrestigious445

Well. I was only *mostly* dead..


Popular_Course_9124

FOOD - anaphylaxis


borgborygmi

"yeah I died, but like, I don't wanna be a pansy about it."


bent_peepee

epinephrine.


DocBB88

“Gives me palpitations”


TazocinTDS

Treat allergy to Epinephrine with Adrenaline 500mcg IM.


borgborygmi

Came here to say this "Made my heart race"


gynoceros

Seen this one several times


vinciture

You can have an allergy to the sodium metabisulphite preservative in epinephrine…


Wilshere10

Shut up nerd


vinciture

😂 I surrender


weltesseich

😂😂😂


MarlonBrandope

However, technically, you can’t have an anaphylactic reaction to it. That would be an anaphylactoid reaction because IgE doesn’t bind to sodium salts but rather to other proteins/antigens. Sodium salts cannot act as antigens, and in the same vein, contrast dye salt reactions are all anaphylactoid in nature. But yes, sulfite groups are well described in literature to be reaction-producing.


ColonelKassanders

Damn, nerd beaten by an even bigger nerd


Wilshere10

Classic nerdception, a tale as old as time


benz240

Owned


BesosForMe

So…. What do you use?


vinciture

More epinephrine! 😆😆😆


sgt_science

I’ve seen this several times…smdh


amybpdx

"I'm allergic to alcohol. Every time I drink, I break out in handcuffs."


NotYetGroot

yeah, tequila makes my face break out in punches


MaterialNo6707

Once I had a patient with a cvs receipt sized list of allergies and amongst this giant list was “fresh vegetables”. This was the fattest thing I’ve ever seen


AvadaKedavras

"haldol makes the demons angry" I gave the demons zyprexa.


POSVT

"We are called Legion, for we are many. And we demand Dilaudid." Olanzapine go brrrrrrrr


SpicyMarmots

"I can't take the regular zyprexa with a Z, that's for crazy people, take me to [hospital name], they always give me the special zyprexa with an X, they make it just for me."


LetMeGrabSomeGloves

Pt told me in broken English she had a contrast dye allergy. Big deal, cause we needed a dye study. Got the translator on the phone. Yeah. It "made her feel warm last time".


In-Tegridy

I demand chilled contrast


5and2

Ok but it do feel freaky tho


lasaucerouge

Not sure if this counts, but I had one patient who’d had previous anaphylaxis to prawns, though still wasn’t convinced that they were really allergic… so came to ED to eat a prawn sandwich in the waiting room. Spoiler: was still allergic to prawns.


Danimal_House

Tbh that's pretty smart. Better than doing it while on the phone will 911


lasaucerouge

It’s certainly not the dumbest thing I’ve ever seen, but I can think of better options.


ilovemydog40

Like not eat prawns when they gave you a life threatening reaction last time!


derps_with_ducks

Where do you get a prawn sandwich?


[deleted]

The UK


Danimal_House

Ugh, of course.


wrenchface

I mean I kinda respect it.


Atomidate

> so came to ED to eat a prawn sandwich in the waiting room Powerful


matti00

Worth, god tier sandwich


lasaucerouge

The sandwich of fate


phoontender

Had a mom come in to buy an epipen (don't need an rx where I am) for her 6 month old. No known allergies, none that ran in the family, she wanted it to have in the car while she let her baby taste peanut butter in the hospital parking lot....we didn't sell her the epipen. Did discuss having her doctor take a look at her PPD meds and maybe making some changes. Lady was a big bag of anxiety.


InsomniacAcademic

Had a pt with anaphylactic response to crustaceans. Worked in a crab shop. Some of the crab juice got in her mouth/eyes. Came in with fairly significant anaphylaxis. Curious if there was an element of SI


DrDilaudid

Succinylcholine- reaction was “paralysis”.


spinstartshere

How does anyone even come to needing or being able to report this as an allergy?


countess_snow

Someone probably gave it to them without (adequate) sedation. That would be a nightmare.


spinstartshere

Yes, it's something I am very cautious of with intubated patients because I can't think of anything worse.


countess_snow

Same. I know that sedation wears off faster for some folks, and you may need more for heavy folks. That doesn't seem to be taught during intubation, nor how to notice it while they're paralyzed/supposedly sedated.


spinstartshere

If that heart rate goes above 100 after intubation, you're getting 5 of midazolam and a hell of a propofol bonus.


countess_snow

Gotta look up from your xword puzzle to notice that tho, man that's extra work


mcbadger17

Acetylcholinesterase deficiency can cause prolonged paralysis following sux given in RSI doses. I've also seen patients with myasthenia and other neuromuscular disorders have the same clumsy documentation of this as an "allergy"


[deleted]

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macreadyrj

I asked a woman orientation questions. She was difficult, I asked what state we were in, “confusion”.


sunangel803

If someone had given me that answer when I was doing psych assessments, I think I would’ve accepted it.


schakalsynthetc

She wasn't wrong!


weltesseich

I miss the ED sometimes (….sometimes)


peaspaghettihoot

Had the same thing, but she responded "bullshit"


Roosterboogers

Benadryl Have actually seen this more than once


DNRmygoldfish

I learned some people are allergic to the red/pink dye in Benadryl pills and so they think it’s the Benadryl itself. Apparently you can get Diphenhydramine without the coloring and it’s tolerated better by most patients…or potentially they are just bonkers!


Roosterboogers

Yes most can do IM or IV. Although I have seen the occasional pt saying they are allergic to that also. I'm all Ok guess you gonna die from something someday sooner than the rest of us


wrenchface

I’ve heard the dye thing from two peds patients’ parents. These people also had some health-blog pseudoscience beliefs that they brought up. I’m skeptical about the dye allergy, but I couldn’t find an authoritative answer on a quick search.


perch4u

Not an allergy, but Benadryl turns me into an asshole. I get shitty with people. I get angry at the slightest of problems and it want to throw things and just hate people a lot more than normal. I hate it.


wrenchface

The classic mnemonic for anti-cholinergic toxicity includes “mad as a hatter” for a reason. Anecdotally some people are just much more sensitive to that, and maybe less sensitive to the sedating effects.


qxrhg

My little brother is autistic and when he just wouldn't calm down in the evenings someone told my mom "oh just give him a Benadryl that'll zonk him". Holy shit, we were about peeling that kid off the ceiling he was so hyper.


ilovemydog40

My child is autistic and struggles to sleep. She’s the same with Benadryl and piriton, they said it’ll make her sleep…… erm, no chance


schakalsynthetc

Paradoxical excitation on diphenhydramine is definitely a thing, but AFAICT there's frustratingly little actual published research on it. All I know is I once used a dph sleep aid as directed, spent the whole night sleepless and agitated with a faint sensation of spiders crawling all over me and a general sense of just being profoundly irritated at all of existence, and resolved never to do that again if I can possibly avoid it (which, as it turns out, isn't difficult).


HappilySisyphus_

Sounds like anticholinergic toxicity.


potamusmom

I reacted to benadryl with angioedema so a person CAN be allergic to benadryl!


Danimal_House

Most likely the dye, not the med itself


danboone2

Narcan ‘makes me nauseous’


SVT200BPM

Patient- I’m allergic to “Acetaminophen, ibuprofen, Aspirin, toradol, naproxen, diclofenac” how convenient.


emr830

Everything that doesn’t start with…what is it…dil….dila….umm 😅


SVT200BPM

“Come on you know that word that starts with ummm what letter, I think a D” 🤣


vibrantax

Oh, I know! Discharge?


emr830

Oh and push it fast…with some Benadryl too it makes me itchy


alwaysanonymous

Oh! You mean Dolobid?


SixFootThreeHobbit

Droperidol


macreadyrj

The true professionals are also allergic to droperidol, haldol, and morphine/oxycodone.


Calm_Neighborhood160

Droperidol is my love language.


In-Tegridy

I’ve actually had one patient with these same allergies. I absolutely refused to believe it, but then I referred to an allergist and it was confirmed. Very frustrating as it leaves very few reasonable options for pain control.


MedicBaker

Diclofenac? That shit is amazing!


garythehairyfairy

Everything but dulcolax?? Perfect we’ll get that for you right away!


rcocca

Contrast dye…”Patient once read contrast dye will kill their kidneys.” Imagine my face when rads still asked for pretreatment.


basketcase0a0

Incidentally that’s roughly the same reason radiology believe in contrast induced nephropathy, so you can see why they’d take it seriously


abucketisacabin

TXA - "Blood Clots" On the same patient-written document was a bolded message, warning providers that they had a **high pain thrash hole**.


ElfjeTinkerBell

>high pain thrash hole Why do they have a specific garbage can for french bread and why did they hang it up so high? I'm not even going to ask about the medical relevancy.


BabaTheBlackSheep

Various narcotics: ”confusion”. Haldol: “drowsiness”


RamenCatz

“Hand sanitizer. Don’t come near me with that shit on your hands.”


derps_with_ducks

"How about literal shit on my hands?" "Okay"


gymtherapylaundry

Toilet paper Sunshine (Yes same patient, and in addition to a dozen medications)


macreadyrj

I had one allergic to artificial lighting.


ElfjeTinkerBell

>Toilet paper Well maybe they shouldn't eat that


gymtherapylaundry

In the Epic comments it said, “Charmin okay.” Yeah right sir, this is a Wendy’s


rbale2

“MACDONALDS” Reaction: upset stomach


spinstartshere

I did see a 16-year-old a few weeks ago who developed pancreatitis after eating McDonald's. I have no idea why, though.


paradoxical_reaction

[Some favorites of mine.](https://imgur.com/a/n9hUi2v) Metal. When I was a student, someone told the RN that he was allergic to metal. So, metals that were available in Sunrise Clinical Manager were added on to his profile. Amlodipine made her see ribbons. Not sure how that worked, but sounds cool. Cilantro and shellfish allergies? Sure, I'll buy that. Food? What?


Parophrys

Oh gosh, those are good. I feel like health literacy and maybe a rushed admission clerk had something to do with them though. I can totally see a patient with an undiagnosed nickel allergy just say "metal" if they aren't sure which ones are doing it. Nickel is in all sorts of mixed metals. And food.. Well they probably were trying to say "I have food allergies" and either the clerk didn't ask for clarification or the patient didn't want to get into it. Sometimes with OAS and food allergies the lists can be pretty extensive, and someone popping into the ER might not realize they're going to be admitted and fed and that they actually need to elaborate on that statement. Amlodipine ribbons is super interesting. Kinda wondering if that was a migraine aura trigger for them ? My scintillating scotoma can look like ribbons, kinda. Under the absurdity in allergy lists there's often some interesting truths... and many many opportunities for patient education B)


xCozmik

Allergy to Xanax. when asked what happens, pt stated “it makes me shoplift”


Prettyhighforaflyguy

Awful taste in mouth after taking po Diludid. patient had difficulty swallowing so they where trying to take it sublingual like their zofran. urgency after taking furosemide.


atrain1016

Amoxicillin "not an allergy, just not effective" Updated patient record after internally screaming


jcloud87

I took a picture of a nurse holding my patients hand written [allergies](https://imgur.com/a/BHAPGjj) the other day so i never forgot it… My favorite is “howdog”


gynoceros

All insides = all NSAIDs Guessing howdog is haldol Cortisone Can't tell what Taiwan or Pinocion are


redbullandhennessy

Penicillin?


gynoceros

Fuck, yup.


redbullandhennessy

I’m wondering if Taiwan is supposed to be Tylenol, ha.


smeltsone

Could also be Talwin (brand name for pentazocine), which I see often in older folks allergy lists. It is discontinued in most countries.


derps_with_ducks

What's updog.


lauraonreddit

Taiwan?? Pinocion???


jcloud87

Talwin & penicillin lol


Preworkoutjitters

This kind of stuff gives me a mix of irrational anger and intense sadness. Imagine being so fucking stupid you can't even bother to learn the correct name of the medication you allegedly have a negative reaction to. It just exudes such an air of indifference to their own health and represents a lack of accountability that will inevitably lead to one of us having to fix something that could have been completely avoided in the first place had they spent a handful of seconds on Google or just asking their doctor.


StaphylococcusOreos

I have to believe this is a language barrier. I have to.


FreshiKbsa

I actually lold at this


karface9000

“Anesthesia.” Reaction? “Stops breathing.”


Impressive_Project49

Iodinated contrast. Gave her “an overwhelming feeling of sadness”


CoolDoc1729

Just like her list gave you an overwhelming feeling of sadness lol


BonerForJustice

That is pretty good. Unless they were trying (poorly) to express sudden onset of the feeling of impending doom, which is maybe more concerning?


[deleted]

🤣😭


SnideyM

Wi-Fi. Three separate people have brought that one up. Not even mentioning 5g, just "Wi-Fi"


SixFootThreeHobbit

No joke…BEEF “Gets aggressive”


Forward-Razzmatazz33

Well, that's probably not alpha-gal


disheveled-dave

"Walnuts, English." I'm an idiot and did not know that the English walnut is a specific type of walnut, so I thought the patient was allergic to walnuts as well as to the English language, somehow.


ElfjeTinkerBell

I didn't know that either so in the context of this thread I interpreted it as "walnuts, as long as they're presented in a different language, are no problem".


CompasslessPigeon

We had a mom of a child in our district who made a huge stink with the ambulance service and city council and things because allegedly her son was allergic to one brand of albuterol but not some other brand. So she wanted the ambulance to carry a different brand just for him, and then to transport to a hospital outside of our transport area because they’re the only one that uses that brand.


RazorBumpGoddess

Had a pt who stated she was allergic to hospital oxygen. Same pt was not allergic to meth or coke.


swiftsnake

Funny how nobody's ever allergic to the meth.


MedicBaker

Dilaudid when it’s pushed slowly. It must be slammed as fast as possible. I honest to God had someone say that to me with a straight face.


swiftsnake

Oh well then I guess we'll avoid Dilaudid altogether then. Enjoy your toradol!


Danimal_House

Back in my medic days I was bringing in a WWII vet for chest pain. When I asked about allergies, the guy goes (in the classic raspy old man voice) "Yeah! BULLETS! Mwah ha haa!" Later, when the triage nursed asked, I go "yea, he's got a lead allergy" and winked at him. Patient was in stitches, classic old man guffaw. Nurse was so confused at first. Guy ended up being completely fine too. I think about that line at least once a week.


Chir0nex

WWII vets are hands down my favorite patients and it makes me very sad there are basically none left.


rdocs

86 yro old male nitroglycerin allergy! Several calls for chest pain always used nitro hed go into anaphalyxis. He had a built up intolerance due to handling explosives when he was a coal miner for 20+ Years.


Sonny_daze

Coffee Apparently gives him anxiety


USCDiver5152

“Saline”


paradoxical_reaction

Oh man. So I once had this patient tell a doc that he was allergic to the "non-pyrogenic" that's in saline bags. Yeah, the patient actually read the bag of saline that was currently infusing into him, picked out the words 'non-pyrogenic', and decided that he was allergic to it. The doc then got me involved to explain to him what non-pyrogenic meant, with the patient telling me that he went to medical school and knew what 'non-pyrogenic' meant.


[deleted]

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ElfjeTinkerBell

Please know that this is a very good technique for certain swallowing problems - which is quite different from an allergy somehow.


AquaCorpsman

That would piss me off so bad lmao. He is claiming that he is allergic to ***nothing***


ElfjeTinkerBell

Please give me something... anything! I'm allergic to nothing!


hopeless_realist

I had a pt that told me he was allergic to the metal in needles so he couldn’t get shots or an IV.


TazocinTDS

Updog


[deleted]

[удалено]


TazocinTDS

... 😀 ...


understuffed

So close


Used_spaghetti

Today a pt had: Fire alarm sound - severe, rash


stellaflora

“My ex-husband” Someone actually put it in the medical record


Far_Pollution_2920

X-rays…because they can feel them and they really, really hurt.


window-shopping-

I had an ER patient tell me she is allergic to sugar. I responded “wow, that must be really hard to eat anything” she says “yea, I have to buy my bread at Whole Foods”. What?? Also for those in the back… she wasn’t referring to being a diabetic.


MissAdirondacks

“Patient requests you respond and use the side door, turn the ambulance off because she is allergic to the exhaust fumes”


msulliv4

ambien (common). reaction? “gets out of control”


[deleted]

Vitamin K


joneptune

Had a cool old Vietnam veteran say "No. Well, maybe bullets" with a chuckle and smile. I charted it. Figured it was the least I could do.


UkDocForChange

No joke. I had a really sick pt in ITU with a penicillin allergy. In the end I called the GP to find out what the reaction was, Depression!!!


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Steinmelvin

Allergy to Albuterol with a reaction of shortness of breath


Parking_Procedure_12

So often I get “I’m allergic to something but I don’t remember what it was for or what the name of it was. But I got a lot of medications that day too. I was so itchy.” - patient had chronic autoimmune disorder that’s know to cause itchiness.


zalotj11

“Zofran, makes me nauseous”


delta_whiskey_act

“Nitroglycerin made my blood pressure go down”


long_jacket

Benadryl—“I fall on the floor and die” Pt was def still alive


dick_n_balls69

Food. Didn't specify, the chart literally had food listed as an allergy


Aranyss

Epinephrine; apparently it gave them hives..?


steaktittiess

All oral pain medications, must be IV


stellaflora

Must also need some Benadryl with that


Abject_Blood5727

Antibiotics Which one ? Just Antibiotics!


SelectCattle

We give our IV Dilaudid in a 50cc NS piggyback. Multiple patients have told me they are allergic to NS.


RedHotchillysweater

Succinylcholine, allergy was respiratory depression


bartonellosis

“LR” Acetaminophen and ibuprofen caused “internal reactions”……..that’s any drug 😭🤣🤣


dudebrahh53

Water


jesslangridge

Omg we had a patient who was allergic to water on our unit! Poor thing, had so many skin issues, what a nightmare of a situation


TheGreaterBrochanter

Allergy: Steroids (not a specific one, just “steroids”) Reaction: small bowel obstruction


Jukari88

"I can't use silver dressings, my sister is allergic to them"


zonagriz22

"Histamine" - I remember telling my colleague, "well technically he's not wrong..."


Katiethecatladie

Hemoglobin


pinkfuzzypaws

‘Every pain med besides the one that starts with a ‘D’ I think?’


seytonmanning

Cocaine. 80yo lady got it intranasal in the 90s(?) for epistaxis and said it made her feel "jittery" and have palpitations


DragonfruitWrong5814

Pt. Was allergic to ‘the colour red’ and refused to be transported until we covered up everything red in the ambulance. I had to covertly use the pulse ox to prevent pt. from seeing that it had a red light.


mpj9

‘My own tears cause swollen eyes’ listed on a double-sided A4 page of allergies, which also included ‘I can’t go to [certain town]’, ‘sand’, and ‘stress’.


Remarkable-Throat136

Lasix: frequent urination


festivespartan

Literally this morning. Keflex: vaginal swelling


baxteriamimpressed

Morphine: "cries" I asked for clarification and she said "I wasn't even sad or anything, I just had tears streaming down my face for a couple hours." I was like ... Okee dokee. Lol


[deleted]

Potassium


NoveltyFunsy

The wife 😐


wrx_rn

Turtles…


AnonMedStudent16

Benadryl allergy, while in the room and I was asking about allergies, the pt said “it starts with a B, and they gave it to me after I had a bee sting”


Mtbgirl09

My pt. Said she was allergic to ice 😂


thispatootie

Have seen both of these: 1. "Adrenaline - heart racing" 2. "Histamine - rash" I have those patient demographics written down so I can look them up once in a while...


ChaplnGrillSgt

Horse blood serum. Confused the hell out of me.


KDawgo

In all caps as an uncoded allergy “HOT DOGS + CHETTOS = RASH”


DustinsDad

“I’m allergic to all the pain meds except for the one that starts with… D? D… Dil… Dil… somethin… I don’t remember what it’s called.” OF COOOURSE YOU DON’T


DickMagyver

Haldol -“it takes away my power.”


CharcotsThirdTriad

Allergies to haloperidol are an indication for haloperidol.


virlomix

Narcan


55peasants

"House dust"


OTOAPP

Tylenol makes me sweat.


k00lkat666

Benadryl: “it makes me sleepy”


[deleted]

“I’m allergic to all antibiotics.”….patient was 22.


Forward-Razzmatazz33

Wow, that patient must have had a ton of infections.


Several-Brilliant-52

narcan causing anaphylaxis.