Constanzi's Solution

  1. New admit last night to my medicare unit...came from the hospital with an order for "Constanzi's Solution" 30cc qid.
    I've been having a heck of a time finding out what this is.. by the time I got her, the pharmacy was closed (meds were ordered befoe she got to us, andthe pharm. did send the solution) I looked in my Nursing Drug handbook, PDR and today, a Google (tm) search turned up NOTHING except referring me to a harpist and other things that don't pertain.

    Does anyone have any information??

    Thanks a bunch!
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  2. 15 Comments

  3. by   nurseunderwater
    I can only "assume" it is some sort of CA drug......I found some links on slow growth tumors and hemopoetics..(super technical)..try yahoo.
  4. by   caroladybelle
    Call whomever ordered it that it is not a standard formulary med...could they please order a formulary drug or order a substitute.
  5. by   Mimi2RN
    There is a Dr. John Constanzi in Austin TX who specializes in hematology and oncology. Maybe it's something he invented?
  6. by   leslie :-D
    i believe it should be "costanzi's solution"....i don't know what it's made of but it's a post-radiation treatment for either oropharnyngeal, esophageal ca's and treats i believe stomatitis.
  7. by   joyflnoyz
    hmmmm ...I work in Austin have to check that out.

    CA was not one of her dx, though "failure to thrive" was there..also "obesity"
    She weighs about 180#, is alert, oriented , able to walk with assist, do many htings for herself. right now her main problem is cellulitis.

    I think I'll call the pharmacist as soo as I get report tomorrow afternoon

    thanks for the replies!
  8. by   SnowymtnRN
    Ok i found this.

    Costanzi's Solution - 15 ml which contains: Fluocinolone acetonide 0.01%, Tetracycline Susp. 125 mg/5ml, nystatin susp. 100,000U/ml, Diphenhydramine Elixer 12.5mg/5ml

    http://www.utmb.edu/policy/nursing/oralhygn/oralpp.pdf

    Seems to be some sort of oral wash for oral hygiene and care. Is there a hx of CA?
  9. by   jemb
    This is odd to me.

    I don't understand why you've asked everyone --from the pharmacist to co-workers to strangers on a buletin board-- instead of calling the ordering MD. Obviously, that is the one person who could have answered your question, and provided an alternate order if it was needed.



    Did the patient ever get the medication?
  10. by   joyflnoyz
    deleted d/t unfinished answer
    Last edit by joyflnoyz on Apr 25, '04
  11. by   joyflnoyz
    >This is odd to me.

    >I don't understand why you've asked everyone --from the pharmacist to co-workers
    >to strangers on a buletin board-- instead of calling the ordering MD. >Obviously, that is the one person who could have answered your question, >and provided an alternate order if it was needed.
    >Did the patient ever get the medication?

    Snark snark snark

    Pt came aftr 5 PM for some reason that only God knows, Austin, TX shuts down at 5PM. Meds were preordered, and had been delivered from pharmacy. PHARMACY FILLED THE ORDER- obviously THEY KNOW what it is. Checked Drug book and PDR. Pharmacy was CLOSED.
    Dr who wrote order was NOT ON CALL. I got home at 0230 (supposed to be home by midnight) and immediatly did a Google search, and came up with no information. I thought someone on Allnurses might know, and that is why I posted my question.

    I thought this BB was all about sharing info and helping nurses-- at least it's been that way for the 3 years I've been a participant.

    guess I was wrong..it's only for those who already know everything
  12. by   caroladybelle
    Joy,

    Actually, Jemb gave the best answer and there was nothing "snarky" about it.

    So that MD was not on duty...whomever was on call SHOULD know what the MD ordered...and if they don't, they will call the MD. And maybe next time, s/he will write an understandable order.

    And , no, we don't know everything...but we should working together to pinpoint the problem (an inappropriate order) and fixing it (remind the MD that the drug is not standard and to be clearer in the ordering practice).
  13. by   lsyorke
    Thanks to the OP!! I've never heard of this before. We should always post a wierd situation or drug since it educates all of us!!!
  14. by   SnowymtnRN
    Quote from joyflnoyz
    >This is odd to me.

    >I don't understand why you've asked everyone --from the pharmacist to co-workers
    >to strangers on a buletin board-- instead of calling the ordering MD. >Obviously, that is the one person who could have answered your question, >and provided an alternate order if it was needed.
    >Did the patient ever get the medication?

    Snark snark snark

    Pt came aftr 5 PM for some reason that only God knows, Austin, TX shuts down at 5PM. Meds were preordered, and had been delivered from pharmacy. PHARMACY FILLED THE ORDER- obviously THEY KNOW what it is. Checked Drug book and PDR. Pharmacy was CLOSED.
    Dr who wrote order was NOT ON CALL. I got home at 0230 (supposed to be home by midnight) and immediatly did a Google search, and came up with no information. I thought someone on Allnurses might know, and that is why I posted my question.

    I thought this BB was all about sharing info and helping nurses-- at least it's been that way for the 3 years I've been a participant.

    guess I was wrong..it's only for those who already know everything
    Eh just blow it off. I realized why you were posting the question! I answered it i thought! (((hugs)))

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