Lidocaine with Rocephin IM?

Nurses Medications

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Just a quick question really.

I have given IM Rocephin reconstituted with saline a few times until last night my charge nurse told me to give it with lidocaine solution.

My drug book had a small part in the nursing considerations when I looked it up that the drug could be given with lidocaine if the patient was sensitive.

Just wanted to ask people if they have given this drug and what they give it with?

teeituptom said:

where are tasers when we need them

consider yourself zapped.

leslie

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i just can't imagine giving rocephin without lidocaine! that is just cruel!!!!

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Specializes in ER, ICU, L&D, OR.
earle58 said:
consider yourself zapped.

leslie

I have been zapped

In assisting the PD in the ER restrain a pt, The officer accidentally zapped me, at least I think it was accidental. I did beat the heck out of him on the golf course the day before and he still owes me money..

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Specializes in NVICU, NSICU.
teeituptom said:
everyone ive used geodon on says it hurts, but then everything hurts. they are all so psychotic and combative, who can really tell.

where are tasers when we need them

correct!!!

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I work for a local dr.s office. I have only worked there a couple of months. I previously worked L&D at a hospital. I had never even given a rocephin shot until I started working here. I have always been told I give a good shot. Well I had a pt. today pass out after getting a rocephin im shot. We mix it with lidocaine and he said it just burned a little. But it has sort of got me nervous..I am scared I did something wrong he has never passed out before. I gave it in his outer/upper quadrant...and he was fine after I gave it but a few seconds later he just fell and I barely had time to catch him. Any advice would be great?

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Specializes in nursery, L and D.

How was he after the incident? Maybe a reaction to the med? Or a vagal response? I don't know, but if it was a one time thing I wouldn't be to worried about it. If all your pts start passing out, then I would worry, lol!

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I had an order to give rocephin with lidociane IM give 1 gram...order mix 2.1 ml of rocephine w/ lidociane. 1 gram to be given so was I correct to give 2.1 mL after mixing the two?

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Specializes in LTC, Acute Care.

Always with lido in the nh I worked in unless otherwise contraindicated.

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We always gave it with lido. Still, next day you would have a sore hind end.

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Specializes in LTC.

we use lido

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I have only given rocephin IM one time. It's almost always given IV where I work. When I did give it, there were specific instructions on the vial to reconstitute it with either NS or lidocaine. I chose to use lidocaine because I figured it'd be less painful.

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Specializes in geriatric.
obernurse said:
i have always (22yrs as anurse) mixed rocephen with lidocaine supposedly it hurts less

i agree.:)

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