ABHR topical

  1. Our hospice has not used this until now. Are you using this? We have always had the suppositories in our standing orders but not the topical. Does it work as well as the suppositories?
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  2. 9 Comments

  3. by   tewdles
    Quote from Vtachy1
    Our hospice has not used this until now. Are you using this? We have always had the suppositories in our standing orders but not the topical. Does it work as well as the suppositories?
    The evidence is mixed. Topical preps are only effective if the patient does not have fever or diaphoresis and if they have good perfusion, IMHO. I hae seen them used with good outcomes.
  4. by   Sue Damonas
    We use it a lot and it works very well.
  5. by   SuesquatchRN
    I prefer pretty much any route to TD. But that's me.
  6. by   Vtachy1
    Where do you put it? How often can you give it?
  7. by   SuesquatchRN
    Quote from Vtachy1
    Where do you put it? How often can you give it?
    The gel? Wrists, back, anywhere there's a little fat for absorption. And depending on the situation, Q1 isn't unusual.
  8. by   smurfynursey
    Forgive my ignorance...

    But what is ABHR?
  9. by   tewdles
    Quote from smurfynursey
    Forgive my ignorance...

    But what is ABHR?
    Ativan
    Benadryl
    Haloperidol
    Reglan

    no problem...
  10. by   eternalsunshine
    As one of the posters points out, the evidence is mixed. I think there are other factors which depend on its absorbency, skin type, diaphoresis etc. Also I was once told that it is carried in a pleuronic agent, so it should for maximum effect, be applied to the same area, therefore, when I ever apply it, I always signs where I have applied it, i.e. left wrist.

    As there is no firm evidence, I often wonder how much of the actual drug is absorbed.
  11. by   FLArn
    If the patient has no or limited absorption from the gut, it may be the best choice for the patient. Our hospice has used it for years with good results and we apply to wrists alernating wrists with each dose. P.S. It needs to be rubbed in to the skin.

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