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Reglan IV



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Page 2 of 4 < 1 2 34 >

No. 10
from gwrn99
Old Sep 26, 2005, 01:42 AM

Originally Posted by chip193
Everyone loves a good dystonic reaction from time to time!
I had the same reaction from compazine.....it has to be the worse feeling I have ever had........
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No. 11
from Altra
Old Sep 26, 2005, 12:56 PM

Originally Posted by gwrn99
mainlined? without a heplock?
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 ...
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No. 12
Old Sep 26, 2005, 11:44 PM

Originally Posted by chip193
Everyone loves a good dystonic reaction from time to time!
That reaction is actually akathisia.
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No. 13
from gwrn99
Old Sep 27, 2005, 03:35 AM

[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.
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No. 14
from Altra
Old Sep 27, 2005, 04:10 PM

[quote=gwrn99Apparently, in places other than the U.S., they do not automatically insert a lock. [/QUOTE]

I'm still not quite getting the "mainlined" part, and now you've piqued my curiousity ... are you saying that meds are administered parenterally without an IV catheter (I'm talking about the catheter, or angiocath - not primary or secondary tubing). I'm getting this mental picture of a syringe of a med being pushed through a needle ... kind of like a venous blood draw but in reverse.
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No. 15
Old Sep 27, 2005, 11:52 PM

Okay, I'm dating myself, but in the old days (1970s in my case) we frequently "mainlined" drugs. I can remember drawing up the undiluted medication in a syringe (often fentanyl or morphine), accessing a vein, mixing the medicine with a little blood in the syringe and then slowly injecting it.

I can't believe I actually did that, and that it was the standard of practice. I would never do it today. But I guess it would be cheaper.
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No. 16
from chip193
Old Sep 28, 2005, 06:10 PM

Originally Posted by MLOS
I'm still not quite getting the "mainlined" part, and now you've piqued my curiousity ... are you saying that meds are administered parenterally without an IV catheter (I'm talking about the catheter, or angiocath - not primary or secondary tubing). I'm getting this mental picture of a syringe of a med being pushed through a needle ... kind of like a venous blood draw but in reverse.
That was how we used to give Solumedrol to asthma patients who were being discharged after a bunch of ventolin.

But that was many years ago!

Chip
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No. 17
from Altra
Old Sep 28, 2005, 06:35 PM

Rainbow & Skip ... thanks, I've learned something. Wow, being new to nursing I can't really imagine administering meds that way, but I guess it was once standard practice.

A fair number of my pts. do their own mainlining before I get to them ....
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No. 18
Old Sep 29, 2005, 01:01 AM

Originally Posted by Meerkat
IV Reglan...oh my gosh...that stuff made me feel like I was crawling out of my skin! About 15 min after I took it I was seized by an uncontrollable compulsion to run...I felt like I was going crazy!
I can't take that stuff either - I get EPS!!! Hate that stuff...
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No. 19
from TinyNurse
Old Sep 29, 2005, 04:36 AM

once as a new nurse my preceptor told me to mix reglan 10mg in a 50ml bag of .9 and infuse over bout 10 minutes...............
i really didn't understand...............
now i do............
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