An order yesterday read to give Toradol 30mg and Morphine 10mg IM to a pt in narcotic withdrawal. He was a tough pt so I consulted the Charge RN on how to best admin these meds.
She told me that they were not compatible meds so I should give them in separate syringes, but tape the syringes together and give the two shots simultaneously, by aspirating and administering the first syringe and then the second.
I had a few concerns with that suggestion which I kept to myself, but basically I didn't feel comfortable with that technique at all, not to mention that it would be a dose = 2 mL which can't go into the deltoid, and if they were not compatible then wouldn't they contact each other in the muscle and crystallize?
I then checked the compatibility of these meds in our regional pharmacy information and found that they were "Y-site IV Compatible". So basically you could run them together with N/S.
1) Has anyone given IM injections the way this nurse described?
2) If 2 medications are compatible through IV, are they also compatible to mix together for an IM injection?
Thank you so much for your help!