I know dextrose and dilantin given together would/could crystallize the veins. My question is--say D5W was running into a patient and then dilantin IV was ordered. Since it could take like 20 minutes to push the Dilantin, say it was instead injected into NS and run as a piggyback over an hour. What would be done about the incompatibility of the D5W and dilantin? OR for any piggyback that was not compatible with the primary fluid for that matter (scenario: the piggyback line is connected at the Y-port on the primary line)? My thinking is that even though the piggyback would be hung above the primary and thus run in by itself (the primary would stop), when the primary starts up again there would be some piggyback residue in the line. I'm a student, btw
ANy feedback appreciated
Oct 21, '05
Why, thank you! Because I worked as an IV therapist I was able to observe and experience a lot connected with IV's. Pack this information away if you won't be using it immediately. You've gotten some real good replies on giving Dilantin. It's one of the odd medications that you have to be careful with.
I have also seen the results of what can happen when IV Dilantin infiltrates into the tissues. It is not pretty, believe me. I've heard of people having to have plastic surgery to correct the mess. The same kind of problems with infiltration also come up with IV Dopamine.
Last edit by Daytonite on Oct 21, '05