Decadron question

  1. 0
    Hello everyone!!
    Decadron is compatible with NaCl, right? I looked it up in my med book, and didn't see any contraindications that would have been specific to my patient. So why did it look white when I gave it IVP. (Patient had NaCl hanging.) When I saw it, I stopped, and asked another nurse on my floor. She said it wasn't a problem. I would just like to know if it is in fact ok.

    Thanks for your input!!
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  3. 12 Comments so far...

  4. 0
    Yes, it's compatible. About the only thing not compatible with NaCl are one or two antibiotics of mass destruction, like vanco. If you look at a vial of depomedrol, it's white.
  5. 0
    Quote from TazziRN
    Yes, it's compatible. About the only thing not compatible with NaCl are one or two antibiotics of mass destruction, like vanco. If you look at a vial of depomedrol, it's white.
    Vancomycin IS compatible with NS. It is originally reconstituted with SW but on further dilution can be mixed with D5W or NS.
  6. 0
    I heard the only thing not compatible with NS was Amphotericin B. But I always call pharmacy if I can't be sure from the drug guide.
  7. 0
    Decadron is definitely compatible with NS. I work in an infusion center and we use it all the time. I have never heard of an indication for an IV push Decadron. Doesn't that cause the perineal burning? That happened to one of my patients once when I accidentally let it run in too fast.

    -Julie in NYC
  8. 0
    Quote from julieK
    Decadron is definitely compatible with NS. I work in an infusion center and we use it all the time. I have never heard of an indication for an IV push Decadron. Doesn't that cause the perineal burning? That happened to one of my patients once when I accidentally let it run in too fast.

    -Julie in NYC
    We pushed IV Decadron in NICU and I have pushed in for patients with respiratory problems.
  9. 0
    I had the same thing happened to me last week - it precipitated when I pushed into the primary line of LR. Drug book did not indicate incompatibility with LR.

    Was there anything else piggybacked into your NS? An abx or anything?

    Whenever I see a color change when giving a IVP, I stop, pull back and change the tubing. Haldol is very cranky like this - even with a good 10cc flush before pushing. I don't like Haldol.
  10. 0
    Sorry, you're right, it wasn't vanco, it was ampho B.
  11. 0
    She had gotten 1g Rocephin 1-2 hours earlier, but had NaCl running at 250/hr ever since. I had just never seen something precipitate like that before, and nothing in the drug guide indicated I couldn't give it. I later looked up Rocephin, and still didn't see where it could cause precipitant. Weird...
  12. 0
    Oh, and yea, I had heard about the perineal burning if you push it to fast. I took it nice and slow, 1 ml/2 min. Maybe too slow but I've heard that the burning is pretty intense!!!!:angryfire ACK!


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