[quote=MLOS]Forgive my ignorance, but I think I'm not understanding what you mean by "mainlined."
An ER pt. who presents with n/v nearly always has an IV started (a lock), labs drawn, and then a bag of NSS hung to rehydrate them. Reglan, Zofran, Anzemet, Compazine or any other med can be administered IV push through this line.
If the pt. is going to have a reaction, then certainly it will have a faster onset w/an IV med than w/a med given by mouth.
You also mentioned IV Valium ... I've seen Ativan used more instead, except pre-op. Some days in the ER, I'm giving Ativan constantly ...

[/QUOTE
Apparently, in places other than the U.S., they do not automatically insert a lock. They have socialized medicine, no worries about lawsuits, and feel it isn't cost effective. I am supposing the mind-set is different here. The valium was given in a liquid form, po, which promptly came back up. The patient was a medical professional, knew what was happening, and requested a bag of IV fluids and zofran. Zofran is given here only to patients on chemo because of the cost. IV was granted only after the patient continued to request it. I have since been told be another medical professional in the area, the doctors here do NOT like being told how to care for the patients and find it rude. I have come across a few of those in the states as well.....I can say this has been an interesting experience.
Nursing News