Phenergan? - page 2

by RN92 36,402 Views | 86 Comments

Does anyone know if Phenergan is addictive.? I know its not a narcotic, but we've seen an increase in pts asking for it.... Read More


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    As a CCU nurse it was used extensively before Zofran IV for MI patients who were nauseated/vomiting from their MI------calmed them down, generally helped stop the symtoms. Of course NOW where I work the pt is taken immediately to the cath lab from the ER and stented if possible.
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    I have received phenergan a lot with my migraines. I don't usually go to the hosptial until I have exhausted all my home RX's and the usually methods of dark room, sleep, quiet. Sometime I can get rid of it. This last one last 5 days but I was still functional to a point. I wait until I am nonfunctional to go to the hospital. Then I usually require Demerol/phenergan to get rid of it. Between the combination of medicine and the sleep I will usually be gone within 2 days. I never ask for the phenergan just Demerol b/c at that point nothing else is going to work. I have pretty much all the other RX at home and have already tried them. Sometimes Dr. will prescribe something else beside phenergan but I usually leave that part up to the Dr. It does help the N/V (? on abb. forgot).


    Angelia
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    The pts in my psych employment will "drug seek" on phenergan when they know it's available. I understand it can give a little buzz - certainly helps them sleep.

    As far as IV use - I used to push it on the onc floor all the time in a running IV or SL - diluted and SLOOOOOOOOOOOWLY. Never lost a vein or heard a complaint. Did occasionally have pts who would be nauseated and refuse the phenergan - come to find out someone had pushed it fast and they were afraid of it burning. I would guarantee them it could be administered painlessly (and did.) It just takes some time.
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    We had to lock up phenergan because nurses (or one nurse) was stealing it. People like the sedative effect it has, or so I'm told as I've never had it. But not sure if it's addictive. I think people with addictive natures, or alcholics are drug addicts like the sedation.

    There's a lot of debate about whether to give it IV or not. It's a horrible vessicant.
    Last edit by 3rdShiftGuy on Nov 10, '04
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    I HATE phenergan! That stuff is awful!!! The first time I was in the hosptial this year to have my galbladder out, they gave it to me the night before my surgery. I was really nauseated. The nurse in observation pushed it fast. I thought my arm was going to fall off! It was worse than the galbladder attacks! And I have really bad veins too, an IV lasts about a day in me if it doesn't get accidentally pulled out. The second time I was in they gave it to me slow with the saline bag drip and it still burned like my arm was going to fall off. Tell you one thing, I'd rather be nauseus. They put it on my chart not to give it to me....



    Why bother with something that burns when you can just get happy morphine and sleep all day?

    I think all nursing students should have to have IVP phenergan once just to see how it feels and that'll make sure they give it nice and slow or IM!
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    Substance abusers seem to like phenergan when they can't get anything else. If they were to take the drug a lot, or too much at one time ,they can get side effects like akathisia. I suspect abuse when someone dosn't seem to be nauseous/ill, and request the med often. If they ask for the med every AM I am suspect also. Unless they have a GI history of course.
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    I had NO clue phenergan was a drug-seeker's delight. The few times I had it, it did nothing for me but make me feel like total crud. Most patients I have worked with dont' like it, either. It's very sedative effects annoy many of them.....
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    Quote from eak16
    Funny, I was wondering the same thing this morning. Had a patient who could have had morphine but wanted Phenergan instead. Go figure! It must be good because I've heard it feels like fire going in and has the pH of around 2.2. Goodness knows i wouldn't want that in me.
    Question for everyone: are you allowed to give it IV push in a peripheral (diluted? Undiluted?)? I had heard this was REALLY bad but everyone does it on my unit, and there is no policy on it.
    The last time I looked, you could give Phenergan IV diluted in 9cc's of NS. Has anyone looked in a drug book?
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    We are allowed to give IV Phenergan but has to be diluted in at least 5+ cc of NS. Some people complain about the burning but I push really slow to help eliminate the burning. I have noticed people asking for Phenergan a lot also. I got a dose once and went right to sleep. Didn't notice a buzz though. Must effect people in different ways..
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    Quote from saskrn
    The last time I looked, you could give Phenergan IV diluted in 9cc's of NS. Has anyone looked in a drug book?
    There was a rather lengthy thread about this some time back and the general consensus from the IV-certified nurses was a resounding NO! If you do a search, I am sure you can find the thread someplace.....I cannot remember who our resident experts were, sorry. Where I work, it is strictly forbidden unless in a liter of fluid, as a special order from MD. For good reason, I believe. I do not know what the rules in Canada are, however.


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