Change in IV Phenergan Policy

Our hospital changed the policy on phenergan also, it is only allowed as an IM injection now. I have not given phenergan very often since this. we usually give Zofran now. Never knew why until now

Our hospital has recently changed the phenergan policy. We dilute 12.5mg in 10cc and 25mg in 20cc and inject over 15 or 20 min. We usually use syringe pumps for this. If the pt has a compatible IV fluid running, I use a port away from the site. Some people think the time frame is unrealistic but why take the chance.

We piggypack ours for 15 min minimum.

No. Our LPNs are allowed to administer IVP meds.

We gave it mixed in a 50cc bag of NSS and infused as a piggyback or alone over 15 minutes

If your hospital has gotten rid of promethazine, you might consider asking the clinicians about using benadryl instead. Beanadryl is an antihistamine just like phenergan is and has antiemetic properties. Others with antiemetic properties include alprazolam, lorazepam, diazepam, hydroxyzine.