Bicitra

  1. 0 Just a question. out of everyone who gives bicitra prior to surgeries. Do you dilute it?
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  3. Visit  mugwump profile page

    About mugwump

    43 Years Old; Joined Feb '05; Posts: 251; Likes: 27.

    37 Comments so far...

  4. Visit  shodobe profile page
    1
    Nope. Straight up. nasty tasting!
    jodyangel likes this.
  5. Visit  RedCell profile page
    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).
  6. Visit  NurseNora profile page
    1
    No, I just tell the patient to knock it back quickly like a shot to tequilla.
    jodyangel likes this.
  7. Visit  fracturenurse profile page
    0
    Yup, I say drink it like a shot...LOL
  8. Visit  FLArn profile page
    6
    Not an OR nurse, but doesn't diluting it in 500 - 1000ml fluid sort of defeat the purpose of being NPO pre-op?
  9. Visit  babyktchr profile page
    0
    I was thinking that same exact thing. Why would you give 500ml of PO fluid before surgery?
  10. Visit  at2726 profile page
    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!
  11. Visit  wtbcrna profile page
    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
  12. Visit  mugwump profile page
    0
    Thanks everyone, keep the info comming. Our pharmacy is saying that we have to dilute it in 240 cc water or juice.
  13. Visit  NurseKitten profile page
    0
    No No NO! Don't dilute it! Talk about making anesthesia's job hell on earth!
  14. Visit  babyktchr profile page
    1
    WHY? That is an awful lot of fluid for an NPO status. I would think anesthesia would have a cow. I wonder what the thought process is for that?
    NurseKitten likes this.
  15. Visit  wtbcrna profile page
    2
    Quote from babyktchr
    WHY? That is an awful lot of fluid for an NPO status. I would think anesthesia would have a cow. I wonder what the thought process is for that?
    I know I would and I would probably cancel an election C-section or other elective surgery if it was diluted with that much water/juice.
    Kaylah18 and NurseKitten like this.


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