Tag Archives: pharmacology

Nano question here! If a character is brought into the ER already unconscious (NOT sedated, just really messed up) and needs immediate surgery, when/how would they administer a sedative for the surgery? I imagine it would be pretty traumatizing for the patient if they woke up during surgery, but what would the medical team do if the patient is already unconscious?

Hey there nonny!  A trauma patient character who’s unconscious is either dying of shock or has significant head trauma. The answer to your question is really going to depend on which it is.  First, the ER’s job is to get a ballpark measure of what’s going on, stabilize the vitals and stop the bleeding, and …

For NaNoWriMo! Hi, first thank you so much for all you do with this blog. My question: in the USA are gonadotropins easy to obtain or are they regulated? Could some combination of over the counter meds be used to facilitate pregnancy?

Hey there!  Short answer: gonadotropins (i.e. fertility meds) are regulated and are only available by prescription….. technically.  However, there are two routes your characters could use to get ahold of them: they can either order them from a country with shady laws (basically the equivalent of getting your VPN from the Seychelles, for example; there …

(nano prep question) My character is drugged by the antagonist using a sedative just before being rescued by his friends. They don’t know what drug he was given, and they can’t take him to a hospital. Is there anything they should be doing to take care of him themselves until the sedative wears off?

Hey there nonny!  Your character will generally be okay after a sedative. They can even be woken up a little bit with pinching in painful places.  The two biggest things for his friends to do are to keep him on his side (so that if he vomits he doesn’t choke), and to watch his breathing. …

hi! thanks in advance! your blog has been so helpful :) now to the question: is it possible to treat anaphylaxis without an epi pen / epinephrine, or is my character dead? i read somewhere that something like benadryl (?) could help but would that be useful for someone with a reaction bad enough that they have passed out already?

So the short answer is: allergies are a scale.  On one end, you have allergic reactions. This can include rash, itchiness, even some hives.  But anaphylaxis is a whole different process on the immune level. Anaphylaxis is the immune system going balls-to-the-walls to Kill The Invader before it kills you. It’s just that the immune …

For NaNo prep!! I know historical medicine isn’t your forte, but I can’t find any info at ALL. It’s 1890. Person A puts laudanum in B’s drink not intending to kill B, but overdoes it and B ends up ODing (possibly passing out?) Person C is also there and has been around morphine addicts and seen ODs. Is there anything C could do to help/monitor B to make sure she doesn’t go into respiratory arrest and/or die? I know there’s no naloxone, but is there anything else to do? B needs to survive.

There is literally nothing for C to do.  From what little I know of Victorian medicine, they might blow literal tobacco smoke up their ass to breathe for them. I imagine you do not want this.  But all they can do is let them sleep it off. B will either survive, or they won’t; C …

Hello! My character suffered food-borne botulism poisoning, is brought to the hospital with troubles breathing and a start of paralysis, but the doctors have already been alerted. How would the healing go in the most optimistic way and how long would it take to recover fully? Does he feel any sensation or pain while paralyzed and/or react to pain or make small motions like moving fingers or looking around? And being on a ventilator at first, could he happen to be awake while on it? Thanks a lot!

Y’know, most of the time, one of my very favorite resources on medical things is a website called UpToDate, which a kindly physician granted me access to.  But then I opened the “botulism” page, and it started talking about botulism neurotoxins as potential weapons of bioterrorism and the countries that may or may not have stockpiles …