Protect Your Patients When Giving Promethazine (Phenergan) - page 3

by TheCommuter 24,449 Views | 22 Comments Senior Moderator

Promethazine is a widely-used medication in healthcare facilities because it has multiple uses. It contains antiemetic (anti-nausea), sedative, antihistamine, and anti-motion sickness properties and can be administered orally,... Read More

  1. 2
    Why not give as a suppository vs. IM? I've personally had both and they tend to act within the same time frame.
    mhayward17 and cherryames1949 like this.
  2. 0
    My clinic gives a lot of phenergan IM. This is my first job & I don't think we covered phenergan IM in school. The only IM's I gave in clinical were vaccines to the deltoid. So, that was my go to site for phenergan IMs. We have a lot of very thin people & I'm always worried that I may go too deep?? I always aspirate & have never pulled back blood. The first client who asked me to give it gluteal had the boniest hiney I'd ever seen! I was so nervous about the sciatic nerve. I've never attempted using the vastus lateralis. I always thought that was more for children.

    We don't do IV's & when I give the option of suppository or IM, they always choose IM.

    I know IM's require at least a 1 1/2" needle, but what gauge do you normally use for phenergan? I've been using 25.
  3. 0
    I never ever give IM Phenergan in the delt. Always in a large muscle where I can get nice and deep. Usually the DG or VG site. FYI though if you work with any psych pts on antipsychotics and a history of EPS. Phenergan can cause EPS. Happened to me last week. PT became so dystonic I thought she was stroking out on me.