Bicitra

Nope. Straight up. nasty tasting!

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).

No, I just tell the patient to knock it back quickly like a shot to tequilla.

Yup, I say drink it like a shot...LOL

Not an OR nurse, but doesn't diluting it in 500 - 1000ml fluid sort of defeat the purpose of being NPO pre-op?

I was thinking that same exact thing. Why would you give 500ml of PO fluid before surgery?

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!

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