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Promethazine IV Question



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No. 70
from BurnunitRN
Old Nov 10, 2007, 11:46 PM

Default Re: Promethazine IV Question
just as many others on here, i have been at the receiving end of the painful effects of IV phenergan. i was getting it scheduled Q4 hrs...and pretty much had to get a new IV every 3rd dose from excrutiating phlebitis...i was in the hospital a little over 2 weeks...never got a central line...you can probably imagine i went through gobs and gobs of IV's....and ya know, by the time i left, there was not one vein in my body that you could have put an IV into. it was pathetic. anyway, at the hospital that i work at, phenergan is only given via IV piggyback. the pharmacy dilutes it in 50cc NS and sends it up to us. no IVP allowed! i'm interested to see what you find!

also, in the burn unit, we give demerol sometimes. we try other pain meds first, but often, after the patient has been here long enough and develops tolerance to everything else, we have to resort to demerol.
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No. 71
from grace90
Old Nov 12, 2007, 12:06 AM

Default Re: Promethazine IV Question
Our hospital still uses Demerol quite a bit. I think it's time for me to do some research and get some information to our supervisors, and the chief nursing officer, among others. They need to get with the program.
I've never gotten IV Phenergan that I know of (hard to know what's up when you're sedated in an ICU), but I got it IM during one of my labors and it worked pretty darn well. Sure it stung, but the sting went away and so did my puking.
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