Protocol for admin. IV Phenergan

We give it as a Piggy back in 50 ML NS slow drip. or if I do have to push it we start with 12.5mgs in 10 of NS and then the other 12.5 if needed.

phenergan can be given diluted or undiluted...if diluted concentration should not exceed 25mg/ml. However,there have been many case reports of extravastion with subsequent necrosis. There was even a lawsuit when it was inadvertantly given intraarterial instead if intravenous. Thank god our hospital does not allow it to be used intravenously anymore...it is automatically substituted with compazine. We kept reporting horrible incident such as painful phlebitis...cellulitis and extravastion...some drugs no matter how much you dilute are inherently irritating.. We just avoid the whole messy problem now

i know that within the last year our hospital has changed guidlines to dilute with 10cc NS. i have read articles however that it should be diluted more than that for peripheral lines. maybe that should be made universal...seems like a good idea.