[Roy Fokker]

Had a port clog off (dual lumen PICC - other port was running TPN) the other day because nurse forgot to take away his PCA pump button.

You can add Dilaudid to the list of things that will mess up Dilantin I guess

[pawashrn]

the infusion/iv push of dilantin/na-bicarb good assessment at the beginning, during and at the end of the infusion Dilute and give slowly any medication when possible. It is always easier on the patients vessels

[mamalle]

we normally give a gram in the er with 500NS on a pump and usually over a hour. honestly we dont use it as much anymore. We normally use Cerebyx- can run it faster and with less fluid..

[GrnHonu99]

We give dilantin all the time. We push it on my floor. Hardly ever do I see a nurse infuse it, unless it is a large dose or a drip, which i have seen. I use whatever port I have, however, I flush before, dilute and flush after since dilantin doesnt mix w/anything. If I give it down the tube, I flush before a nd after as well.

[ecat81]

Just remember Cerebyx can be given 150/min but slower for women b/c it will cause outrageous vaginal itching. And also on anyone if going to fast can cause vomiting.

[bellarn75]

I dilute it and push over 2-3 mins.

[bellarn75]

I forgot to mention that my dose is usually 100 mgs only.

[my bedroom]

Just curious how you give IV dilantin in your facility? do you mix it with NS in mini bag?

if you want to give this drug by push in PICC line , with how much NS do you dilute it first ?

[Fiona59]

Can honestly say I've never seen it on our unit. Are you in ICU?

There are a couple of places on the web that have Canadian hospital monographs for it.

Have you checked with your pharmacy?

[Silverdragon102]

As well as checking with the pharmacy there should be information with the medication with instructions. If unsure do not give until sorted.