Protocol for admin. IV Phenergan

OUCH!! I can't imagine being on the receiving end of undiluted IV Phenergan......all I know is I would never give it that way. Our protocol is to dilute with 9ml NS and give over at least 2 minutes; I give it more slowly than that, because I know how it burns and what it can do to a vein. In fact, I usually push it over 4-5 minutes; as a result, I've never had one single complaint about my administration of IV Phenergan, even when giving it through a saline lock. Nothing wrong with being cautious, and as busy as I get sometimes, I think it's worth taking the time to do IV push meds right so they don't cause more harm than they 'cure'.

I would like to know if anyone has the standard protocol for delivery of IV Phenergan. The hospital I work at says dilute with 10-20cc but I was just hospitalized myself ( it sucks to be the patient) and the nurse gave me IV Phenergan with only a 3cc dilution. I questioned her after she ruined my IV site ( and I got cellulitus) and she denied using a 3cc to the IV nurses. I would like to know what the standard protocol is. Thanks for your help!

The references I looked at states that phenergan can be given IV push diluted or not.Look at the infusion nurses society about the ph of drugs. Phenergan does not fall into a drug that is safe to push in a perioheral line. I just read an article where phenergan was blamed for the loss of an arm. I hope this helps. Also the reference I looked at stated it should be given through a running IV.Diluting the phenergan with any amount of ns does not change the ph of the drug.

You dilute it even if you put it in a distal port? I sthis necessary. I never have when putting it in a distal port, but if it is necessary I will start doing it.