Bicitra

  1. 0
    Just a question. out of everyone who gives bicitra prior to surgeries. Do you dilute it?
  2. 37 Comments so far...

  3. 1
    Nope. Straight up. nasty tasting!
    jodyangel likes this.
  4. 0
    I routinely dilute my bicitra with atleast 500-1000ml of fruit punch flavored gatorade. The patients all love it. Also, you get to see whether or not your assistant really knows how to maintain cricoid pressure (not that I believe all that much in Sellick's maneuver anways).
  5. 1
    No, I just tell the patient to knock it back quickly like a shot to tequilla.
    jodyangel likes this.
  6. 0
    Yup, I say drink it like a shot...LOL
  7. 6
    Not an OR nurse, but doesn't diluting it in 500 - 1000ml fluid sort of defeat the purpose of being NPO pre-op?
  8. 0
    I was thinking that same exact thing. Why would you give 500ml of PO fluid before surgery?
  9. 0
    We only give Bicitra if a patient hasn't been NPO for at least 6 hours. So mainly when we get patients from the ER they have to have Bicitra. We do not give it with anything just straight up like a shot! Adding something does defeat the purpose of being NPO!
  10. 0
    Quote from RedCell
    I routinely dilute my bicitra with atleast 500-1000ml of fruit punch flavored gatorade. The patients all love it. Also, you get to see whether or not your assistant really knows how to maintain cricoid pressure (not that I believe all that much in Sellick's maneuver anways).
    You are kidding right? 500-1000ml right before surgery. That would totally defeat the idea of being NPO, and greatly increase the chance of aspiration pneumonia/Mendelson's syndrome. It is controversial enough just giving a full dose of bicitra because although bicitra helps neutralize acidity it increases the overall recommended volume of 25cc (0.4ml/kg) in the stomach.

    In other words it is not recommended to mix bicitra with anything, if you are using it as a prophylactic antacid prior to surgery.

    http://www.asahq.org/Newsletters/199...mendelson.html
  11. 0
    Thanks everyone, keep the info comming. Our pharmacy is saying that we have to dilute it in 240 cc water or juice.


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