Reglan IV

We have it in the Pyxis, don't think I've ever given it IV, only po. Have also given it for migraines. -Andrea

Why just the other day I had a patient who was recieving Reglan IV-a continuous infusion of I believe 80 mg, in a 240 ml bag of NS, infusing 10 ml an hour. And on top of that, she was recieving 8mg Zofran every 8 hours ATC, as well as Haldol 1mg, every 8 hours ATC, AND Haldol 1mg every hour prn, for break through nausea/vomiting or anxiety, AND Phenergan 12.5 mg IV or 25 mg PO every 6 hours for nausea/vomiting.!! (cancer patient) Needless to say, she was out of it 22/24 hours a day.

We give reglan IV often in our abdominal post op patients, either 10mg q6hr around the clock or q6hr prn. We use it for nausea and I've been told by some surgeon's that they use it because it promotes gastric emptying.

over the years i've seen some really bad reactions to reglan, espically when pushed too fast. Saw a woman stand up on her stretcher screaming at her husband wanting to know who that strange man was! It was standard practice in my er to mix the reglan with 50cc ns and hang over 10 minutes or longer, afterall, who has time to stand at a pt's bedside and give a push over 10 minutes. Now because of JHACO, we are not allowed to inject anything in to a bag and give the drug slowly. I am able to push the med, but not put in in a bag....what kind of sense does that make? But that is another rant.

Giving reglan IV push is done here in this country all the time.

we used to do that alot in the old days, late 60s early 70s, we did that with a lot of meds back then. Now we know better from a legal perspective.

We give reglan Iv all the time for nuasea. You can mix it in a 50 cc bag and infuses it slowly.

the bad effects are much dininshed by giving it slowly. I usualy draw up 10mg/1cc in a 3 cc syringe and draw 2 CC out of the line before pushing 1cc. wait 30 sec, draw another 1 cc of fluid and push1.5 cc, then draw up another 1.5cc from the line, wait 30 sec push 1.5 and then put the last of it in a port higher up the line then, slow the drip to TKO and have'nt ever gotten the freaky effects that I have seen other RN's get pushing reglan.

It works great for patients that don't get relife from zofran or phengran.

I give I.V. push reglan quite often. I push 1ml over 1-2 minutes and have never had a problem. Another poster mentioned using Reglan for migraines? I have never heard of that as a use for Reglan. But then, I have only been a nurse for a little over a year, so I know I have a lot to learn.

for some people, it words great for migraine. sometimes requires 2 doses, worked with one doc. that would use this before anything else.

Do you mean Reglan works great for migraines? Ive never heard of Reglan used for that. Im not saying I doubt you, just saying Ive never heard of it and as a migraine sufferer, I just might have to look into it!

*new hope*!!