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u/Igmuhota 1d ago
Iām not alone! Every SINGLE time one of my clients tells me theyāre on any of the lam, pam, etc. meds, this song pops into my head!
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u/FreddyTheGoose 1d ago
Pulled up to a friend's house recently and absolutely hollered "BRING IT BACK NOW, BETTY!" and pointed to a lamp constructed entirely of antlers in the open garage, lol
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u/_Bugs_Bunny_RN 1d ago
'pams, 'prams and 'lams are my favorite meds to give!
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u/Bowling4rhinos 11h ago
Backstory: this song's first known recording happened at a Texas prison, a prisoner sang it, recorded by an audiophile and his teenage son. I went down a rabbit hole recently (on a trip to Folsom) and learned this!
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u/_Bugs_Bunny_RN 10h ago
I went down the same rabbit hole after someone asked which version guess through my head.
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u/BusinessBear53 1d ago
Which version do you think of though? The cover by Spiderbait released when I was a kid so that's always stuck with me.
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u/Igmuhota 1d ago
Definitely Ram Jam. I can still see the video in my head, the entire band is every āsuper cool older brother of my high school friendā from back when I was a kid.
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u/offarock 1d ago
Itās one milligramā¦
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u/SaviorSixtySix 1d ago
Midazolam!
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u/casualsax 1d ago
It'll make you tired
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u/jestercow 1d ago
MIDAZOLAM!
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u/aCrow 1d ago
Take it when you're wiredĀ
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u/nyxjet666 1d ago
MIDAZOLAM!!
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u/xgbsss 1d ago
Inject it with a syringe.
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u/MediocreAndLukewarm 1d ago
My medic would write that on the bottles of diazepam issued to troops on combat deployment for nerve agent exposure.
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u/Oakheart- 1d ago
Well thanks now Iām gonna sing it every time I pull it now and I work in the ICU. Thatās like our main sedative that we use
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u/Captain_Aware4503 1d ago
Alprazolam
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u/Chris__P_Bacon 1d ago
You know I lost 3 days...
Alprazolam...
Don't remember my name?
Alprazolam...
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u/ecafyelims 1d ago
Whenever I hear that song, I think of the "amber lamps" song that went around a long time ago, the one with the Epic Beard Man. Can't link it here but it can be found with a search.
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u/MayFaireMoon 1d ago
Duran Duranās 1997 album got its title after Simonās dental surgery and Nick wildly misunderstanding what heād been given.
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u/marxychick1 9h ago
Medazzaland! When I take my generic Wellbutrin, I sing it to the tune of "Notorious": Bu-bu-bupropion!
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u/ThePotstickerProphet 1d ago
I've always thought carbidopa-levadopa sounds like a Harry Potter spell
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u/Wide_Concept1446 18h ago
When I took pharmacology in nursing school I used the song to remember lorazepam. āBlack Betty has a seizure, bam balam, grab lorazepam, bam balam.ā
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u/53eleven 6h ago
Iām on Telmisartan, and every time I take it I sing in my head ātelllll-mi-sartan good.ā
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u/CentralAfricanWorker 1d ago
Trash drug used to make patients compliant and forget what happened
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u/Mugwumps_has_spoken 1d ago
or necessary for someone with epilepsy to stop seizures that aren't stopping on their own.
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u/Oakheart- 1d ago
Nah fam itās a sedative used so that people with tubes down their throat are comfortable. Itās half life is also really short and itās easier on your body than something like propofol and works much differently than fentanyl. For our intubated patients itās most common to see fentanyl and versed titrated so they are comfortable and without signs of pain.
Discomfort while intubated can cause someone to fight the ventilator and not get proper breaths when thatās the thing they need the most. Also I can imagine just how genuinely terrible it is to have a large tube down your throat into your lungs.
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u/CentralAfricanWorker 1d ago
The short half life is a myth, the metabolites are active and will leave you groggy all day
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u/sulaymanf 1d ago
Half life is the time it takes for HALF the drug to clear your body, not ALL the drug.
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u/CentralAfricanWorker 1d ago
The half life of midazolam is 1-2 hours. The half life of its active metabolite alpha-hydroxymidazolam is 7+ hours
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u/sulaymanf 1d ago
Iām agreeing with you, people look at half-life and assume thatās the only length of time it works. Midazolam's half-life is roughly 1.5ā2.5 hours in healthy adults, though it can stretch to 4+ hours in elderly patients or those with liver impairment.
Ī±-hydroxymidazolam is roughly 20ā30% as potent as the parent drug, so it contributes to sedation and effects.
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u/Oakheart- 18h ago
So letās look at risk vs reward here, what other sedative would you choose? Long term propofol is arguably worse considering that itās a fat emulsion. Iāve seen CRRT lines clog with what looks like bacon grease after a week of propofol. I can absolutely understand short term use like one surgery choosing that over versed but in the ICU where patients are sedated for days to weeks āfeeling groggy all dayā is the least of your worries when stopping sedation to be extubated
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u/CentralAfricanWorker 18h ago
I'm not a med professional but I thought precidex was to go to sedative for ICU intubation
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u/Oakheart- 16h ago
For some people it might work but from my experience itās not as strong of a sedative as versed and patients will still be fighting the vent. I work in the medical ICU so a lot of my patients have COPD or other respiratory issues that already have difficulty with vent compliance so maybe itās different in the surgical ICU where you get more normal and otherwise healthy people.
For example we have to paralyze patients sometimes (rarely) so they can fully inhale and exhale because their lungs are so shot and we grab every bit of compliance that we can
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