I was recently on shift in an ED when physician ordered IV versed to be mixed with PO tylenol and given to a pediatric patient for conscious sedation to reduce closed fracture of forearm. The label on the IV Versed read "for IV or IM use only". I showed the physician the warning and he replied, "we do it here all the time." I informed the physician that I was uncomfortable giving the medication and gave the order to my charge nurse who carried out the physicians request. The rationale on the box was because it contained a certain type of alcohol that was not for po ingestion. Have any of you ever used this drug orally?
I have done it many times w/peds, sometimes mixed w/a little apple juice-- seems to go down easier than the syrupy tylenol & easier than the po versed too. The job I'm at now uses only the PO Versed liquid for kids though.
Last edit by anononurse on Sep 3, '07