Mixing IV meds

[fleasle]

Hi all,

I am a relatively new nurse and had never considered mixing IV meds together before administration. This was never something that came up in school, nor something I ever saw during clinicals. However, several nurses on my floor regularly do this and I wanted to see if most people do or do not. When I say mixing IV meds I mean to put, for example, Morphine and Reglan together in the syringe and then giving it to the patient. If you do practice this, I am wondering....You only mix if the IV book says they are compatible in the SYRINGE, not Y site, correct? Also, do you go by the slowest push rate of the two? :monkeydance:

Thanks,

Flea

[Creamsoda, ASN, RN]

I always mix them seperately and give them seperately. I dont think ive seen anyone mix up meds together. The only time ive ever done it is for IM injections and we were taught we can mix gravol and morphine together. Ive never had to mix anything together since school. I work in ICU and we give everything IV push so there is no need to mix things together.

Cher

[lisab82]

i work in the uk as children's nurse and i always give my iv med separate

as others said if my patient react to a drug id like to know which one , plus if your giving one medication for example in uk we used metronidazole and cefuroxime for post appendix patients now these two drug can be mixed, and i see fellow nurses do this

if you mixed the above two drugs for example one an infusion over 30 minutes the other a slow bolus if the cannula tissued during the infusion how do you know how much they had of each drug , least if you give the slow bolus first and it fine and then the cannula tissues during infusion then at least you know they had the one drug.

[meandragonbrett]

I'll mix morphine, versed, phenergan, and dilaudid. That's all though.