IV Valium and precipitates...

[WSU_Ally_RN]

So I am here at work attempting to give my pt IV Valium, but everytime I go to dilute it down so I have a workable amount to push, it precipitates! I have tried to dilute in NS and sterile water both, and they both cause a precipitate. I'm worried that if I just go ahead and push through the hep lock that it will cause a precipitate in the IV... what to do??? Any tricks of the trade out there to push this?? Thanks! :)

[Nursetastic]

A rectal gel for folks in severe EtOH withdrawal? How's that working out?

Great, actually. It may take 3 of us to turn the patient and get it administered but once it is given it works great. Nice, long half life and even with the most severe withdrawals it is a great adjunct to Ativan.