Giving meds together
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This is a discussion on Giving meds together in Nursing and Patient Medications, part of General Nursing ... Question! Is it okay to give Ativan IV with dilaudid PO at the same time? Same goes for any...
by mandaaRN Dec 21, '12Question! Is it okay to give Ativan IV with dilaudid PO at the same time? Same goes for any narcotic and Ativan together? I ask nurses at work but never get a straight answer as they are always busy themselves. What about narcs and sleeping pills? Do you wait an hour in between? It's been bothering me which meds are and are not okay to give with each other. If any of you could help me and ease my mind a little more, I would appreciate it so much!!
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http://allnurses.com/showthread.php?t=803697©2013 allnurses.com INC. All Rights Reserved. - Dec 21, '12 by sbostonRNI've given Ativan with pain meds before. Sometimes it can snow the pt if they aren't used to narcotics, and sometimes it's the perfect combo. If its a new pt or an elderly pt, and you're not sure, start with one and be safe.
- GuideDec 21, '12 by HouTxIf you have questions, ask a pharmacist. Seriously, that's what they are for! You also need to review your own organization's P&P to see if they address these issues.cardiacrocks and Hygiene Queen like this.
- tyvin and loriangel14 like this.
- Dec 21, '12 by Lil'mamaThere is no straight answer. Are they contraindicated...not exactly. Can they cause increase side effect...yes. It depends on your patient, current condition and disease process. So some patients can tolerate it and some cannot.Orange Tree and dudette10 like this.
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Dec 21, '12 by 0402We have a hospital policy that sedating IV meds (e.g. ativan, dilaudid, morphine, benadryl, phenergan) must be given at least 20 minutes apart. However, you can give IV of one and PO of another together, so IV dilaudid and an Ambien or IV Ativan with PO dilaudid would be fine, for example.loriangel14 likes this. - Dec 21, '12 by mandaaRNThanks 0402! It's been buggin the hell out of me and being a nurse for just a year, I'm still asking so many questions! I always want to do the RIGHT way lol
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- Guide
Dec 21, '12 by Hygiene QueenQuote from HouTxIf you ever have questions or doubts, the pharmacist is the way to go!If you have questions, ask a pharmacist. Seriously, that's what they are for!
You get your answer right then and there. - Dec 21, '12 by amoLuciaSome things I'd consider include onset and peaks of the drugs. But as they differ, my other considerations include my pt specifics.
How old is pt?
Is pt anxious because of pain?
Is pt well-nourished?
Is pt lying down with side-rails up?
Anything else being given that might 'SNOW' pt?
Is BP ok?
Like others have said, the pharmacists are terrific resources.
