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| No. 30 | 
Jun 20, 2008, 07:32 AM
 Re: wrong route phenergan?
I give phenergan IV all the time, very slowly, over 10 minutes, and mixed with at least 10 ml of NS, with good flushes before and after. Our hospital policy states we CANNOT give phenergan in hand or wrist veins due to the fact it can cause necrosis. So now a lot of the docs are ordering Zofran instead.
 | | Advertisement Sponsored Links | | | | No. 32 |
Jul 18, 2008, 10:49 PM
Re: wrong route phenergan?
We give IV Phenergan all the time. I've never diluted it, but I always give in with a wide open running IV and I push it slowly. I've never had anyone have a bad reaction to it in 16 years of nursing. I have, however, had several people become anxious, nasty, restless, shouting, etc... several times with Reglan. We give Benadryl, and the symptoms go away. I personally think Phenergan and Zofran work the best for nausea. That's been my experience anyway.  | | No. 33 |
Aug 02, 2008, 07:40 AM
Re: wrong route phenergan?
I personally have been on IV phenergan off and on for the last 8 years. I suffer from non-diabetic gastroparesis and there are many times when I can not tolerate the PO phenergan. I have been on as much as 50 mg IV every 4-6 hours just to keep from needing a feeding tube. It does cause severe burning and has infact damaged a couple of my veins so now I have a mediport. The port is much nicer, no burning what so ever but I still have to push it very slowly as the port goes into the right atrium so if I dont go slow enough I feel the effect very quickly. Thankfully I carry a signed order from my gastro doc otherwise there are a few times I would not have been given it IV. Which would have left me unable to keep anything down as due to an absorption problem IM does not help, and suppositories just burn too much.
| | No. 35 |
Jun 25, 2009, 12:47 PM
Re: wrong route phenergan? Originally Posted by lmc512  I might have missed something, but just tonight I have given several doses of IV Phenergan 25mg to various patients. As for using a needle to inject into the port, there is nothing wrong with it other than needleless systems are safer. You diluted it and you pushed it slow, nothing much else to it. i have only had one pt in several years have any reaction to it. It made her very anxious and basically mean, but then it wore off and she was normal again. Just not worth your license to push this drug IVP! Risks are too High! I just did a case study on phenergan for my pol. Sc. class, guess what nurses, we are incorrect about Phenergan!Just this march 2009, this case went to all the way to the Supreme Court. I was horrified to learn that all these years I had been giving phenergan Ivp as instructed by my policies at each of the facilities I worked in. I learned doing this research that if I push Phenergan iv push, as I am instructed to do by md's orders. I will be sued, if an adverse reaction occurs, Phenergan is so bad that if the iv get inflitrated and the drug enters into the tissue or artery, gangrene can and will develope. They will amputate the limb as far as they need to. Nurses be aware that phenergan is a very dangerous drug, do not ivp the drug, do not dilute it in 10cc normal saline, diluting it in 10cc is not safe enough, dilute it in 50cc - 100cc of saline and hand that bag. I can't tell you enought times do not ivp the drug, even if you flush the line or check it right before the push, you can't assume nothing will happen in those few second that you decided to push the drug that it was patent. We are mislead thinking we're going to alright pushing phenergan, don't do it! It just one time... the patient has the right and will sue the hospital, doctor who orders it, and YOU, and the patient will be right in doing so. By the way, she was mean because the you hurt her either because you pushed to fast, or the iv was inflitrated, phenergan hurts going in. Consider not pushing at all.
| | No. 36 |
Jun 26, 2009, 07:44 PM
Re: wrong route phenergan? Originally Posted by P_RN Needle systems are illegal.....aren't they? I thoguht it was law by now. What compoany tubing are you using, surely then make an adapter.
Nope, we give our meds using a needle into the saline line every day.
| | No. 38 |
Jul 01, 2009, 12:06 PM
Re: wrong route phenergan? Originally Posted by beth318 Just not worth your license to push this drug IVP! Risks are too High!
I just did a case study on phenergan for my pol. Sc. class, guess what nurses, we are incorrect about Phenergan!Just this march 2009, this case went to all the way to the Supreme Court. I was horrified to learn that all these years I had been giving phenergan Ivp as instructed by my policies at each of the facilities I worked in. I learned doing this research that if I push Phenergan iv push, as I am instructed to do by md's orders. I will be sued, if an adverse reaction occurs, Phenergan is so bad that if the iv get inflitrated and the drug enters into the tissue or artery, gangrene can and will develope. They will amputate the limb as far as they need to. Nurses be aware that phenergan is a very dangerous drug, do not ivp the drug, do not dilute it in 10cc normal saline, diluting it in 10cc is not safe enough, dilute it in 50cc - 100cc of saline and hand that bag. I can't tell you enought times do not ivp the drug, even if you flush the line or check it right before the push, you can't assume nothing will happen in those few second that you decided to push the drug that it was patent. We are mislead thinking we're going to alright pushing phenergan, don't do it! It just one time... the patient has the right and will sue the hospital, doctor who orders it, and YOU, and the patient will be right in doing so. By the way, she was mean because the you hurt her either because you pushed to fast, or the iv was inflitrated, phenergan hurts going in. Consider not pushing at all.
Most issues with lawsuits involving IVP phenergan occur with short term peripheral IV catheters (less than 3 inches in length). Phenergan is a vesicant, but if you have a patent central line, there is no reason not to give it via this type of IV catheter. Yes, I'd still do a 1-10 dilution, but giving it centrally makes all the difference in the world.
The smooth lining of the inner lumen of the blood vessel is comprimised quickly with the administration of irritant and vesicant drugs. This stems from the fact that the blood flow in the peripheral vasculature is not what is seen in the central venous system.  |
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