Most Common IV Push Meds on Med-Surg

[nurseJ88]

Hi there.. I am an orientee on the med-surg floor. Just started.. What are the most commonly ordered IV push meds used on this floor for me to be well-knowledged off? .. consider dilution and compatibility, important things to remember.. I understand that I can look up a med in a drug book when necessary; however, it will really help me to start really knowing the most important ones. Thank you so much. Any IV med book that you recommend?

[shellsgogreen]

lasix, dilaudid (shocker:uhoh3:) and lopressor

on my floor, we keep a chart handy of all the biggies with all the necessary info, like how long it is to be pushed and if it is in our scope of practice to even push it to begin with.:uhoh21:

[november17, ASN, RN]

mostly diazapam, ondansetron, promethazine, ketorolac, morphine...occasionally furosamide, methylprednisolone, esomeprazole, hydromorphone (we generally give this sub-q), and meperidine (even though it sucks for pain control, there is one oldschool holdout physician/surgeon who continues to prescribe it so I still give it once in a while when I have his patients).

[Achoo!, LPN]

Lasix, morphine, narcan, phenergan, benadryl. Those are the biggies.

[SarahRNBSN]

Ditto to most of the above....

side note: the only difference I notice is on my floor is we don't give metroprolol or haldol IV as they require cardiac monitoring according to our protocol (there are a couple others, I can't think of at the moment). If it is emergent, the physician must administer the med or we take the monitor off the crash cart and hook the patient up if we choose to do it. On my unit we have a list of all IV push meds that we can give and parameters for doing so, as well as a list of those IV push meds that cannot be given (since we don't have telemetry capabilities). Your faciility will hopefully have a similar list. Sorry for the long response. Hope it helps.

[MD1211]

Morphine, lasix and protonix. I want 10 prefilled syringes of morphine at the beginning of the day! And, they will surely be gone by noon.

[qpmz]

IV push:

phenergan- always give with running iv fluids or given im

zophran

morphine

dilaudid

toradol

reglan

IVpiggy back

ancef

pepcid

protonix

flagyl

levaquin

vancomycin

cefapime

[TigerGalLE, BSN, RN]

Morphine, solumedrol, lasix, protonix, reglan, pepcid, decadron, dilaudid, ativan, haldol, zofran, phenergan (rarely), benadryl, hydralazine.

We can't give lopressor, dig, or cardizem on the floor.

I dilute morphine, phenergan, and ativan.. push them slowly.

You also have to dilute pepcid on my floor. I give all IVPs slowly. And I monitor vitals closely for narcs and hydralazine.

Tigers

[amers573]

yes i would say this is very important.

[suehp]

we push Diluadid, morphine, toradol, zofran, reglan, ativan, phenergan, benadryl, lasix, pepcid, protonix, solumedrol and I always dilute whether they need it or not.

Our hospital is not going to use demerol anymore....and we are not able to give haldol or vasotec on our floor.

[petrymomRN]

For me it's definetly Lasix, Toradol, and Protonix. Morphine is also very common but I think Lasix and toradol take the cake. I agree with the other post that compatability charts should be in your med room. :)

Funny - I pushed both toradol and Lasix today!!!!! :-) - also pushed metroprolol.

[Dancin'Mom]

I just got off of orientation of med surg/telemetry floor so take my input for what it is worth. I've given IV push lopressor, lasix, benedryl, zofran, reglan, dilaudid, haldol, morphine,off the top of my head. I'm sure there are many more but that is what comes to mind for the most part.

[ontocrna]

morphine sulfate