I understand that Benadryl, Ativan, and Haldol are not compatible when given in the same syringe IV push. However, is it safe to give when they are mixed in the same syringe and given IM? More Like This Do you burp IV bag prior to putting pressure on it? by Nurse Beth, MSN Diluting Ativan? by Guest838984 IV Piggyback: Benefits of Its Administration by Kellie Norris, MSN, RN The Unsung Hero of The Emergency Department: The 24G IV Catheter by Damon McGill, BSN, RN How to Start an IV with an Ultrasound Machine: Transverse Mode by Damon McGill, BSN, RN
Good answer? Sign In Columnist Kenneth Oja, PhD, RN 1 Article; 23 Posts Specializes in teaching, research, and evidence-based practice. Has 19 years experience. The safety and efficacy of combining different medications can vary depending on the types of medications, the patient's medical history and diagnoses, and the intended therapeutic outcome. It's also your responsibility as a nurse to verify if there are any interactions before you combine them and administer to the patient. This is a great question to ask a pharmacist or to look up in your Drug Guide for Nurses. Your hospital may also have free access to one of the many online medication indexing databases, like Micromedex, where you can easily check drug compatibility. That's what I always used as an ICU nurse!
Good answer? Sign In Esme12, ASN, BSN, RN 4 Articles; 20,908 Posts Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma. Has 43 years experience. Haldol and benadryl form a precipitant within 5 min. They are not to be mixed.
Good answer? Sign In Meriwhen, ASN, BSN, MSN, RN 4 Articles; 7,907 Posts Specializes in Psych ICU, addictions. Haldol and Ativan are compatible. Ativan and Benadryl are compatible.Haldol and Benadryl are not compatible.So you are not able to give the B52 (or its variations) in one syringe: you will need at least two. Benadryl really can't be mixed with much. Many of the nurses I've worked with make it a practice to give it separately even if it is compatible with another med.
Good answer? Sign In Asystole RN, BSN, RN 2,314 Posts Specializes in Vascular Access, Infusion Therapy. Why do you think the three mixed in the same syringe for IV push are incompatible? Once you determine that then think about how they would be compatible mixing them in a syringe and delivering the medications another method.
Good answer? Sign In Christy1019, ASN, RN 879 Posts Specializes in Emergency/Trauma/Critical Care Nursing. Has 11 years experience. I believe haldol and ativan are compatible, at least for IM injections, not sure about IV, but a lot of facilities stay away from haldol ivp unless pt is on a monitor anyways. I always do my benadryl separate, however its been so long that I've been doing it I don't remember if its because pharmacy said to, or if I was trained that way or what.
Good answer? Sign In hiphopRN 33 Posts Specializes in Psychiatric Nursing. Has 3+ years experience. How about straight Geodon or Zyprexa? Quite effective.I do think Geodon is pretty effective, we usually do Geodon and Ativan though. We hate when the docs order Zyprexa IM most of the time because for the majority of our patients it doesn't ever phase them. I also tend to like the B52 better for emergencies because it can be torture waiting for the Geodon or Zyprexa to dilute.Also like others stated, we usually mix the Haldol and Ativan and then give the Benadryl separate.
Good answer? Sign In icuRNmaggie, BSN, RN 1,970 Posts Specializes in MICU, SICU, CICU. Has 24 years experience. I agree about the Zyprexa IM. It totally wears off in a couple of hours. Not effective for psychiatric emergencies with extreme violent agitation.
Good answer? Sign In icuRNmaggie, BSN, RN 1,970 Posts Specializes in MICU, SICU, CICU. Has 24 years experience. Geodon is very effective for agitation secondary to the DTs. Many years ago we gave a ten four over and out. 10 of haldol, 4 of ativan and 50 of benadryl.. This was only for the worst psychotic violent and truly dangerous patients in the ER.
Good answer? Sign In nrsang97, BSN, RN 2,602 Posts Specializes in Neuro ICU and Med Surg. Has 22 years experience. I wish we could do a B52 cocktail, but our physicians will not do it. It is either haldol or ativan and not both. I have seen some give geodon with good results. I wish they would think about using that more.
Good answer? Sign In hiphopRN 33 Posts Specializes in Psychiatric Nursing. Has 3+ years experience. Geodon is very effective for agitation secondary to the DTs. Many years ago we gave a ten four over and out. 10 of haldol, 4 of ativan and 50 of benadryl.. This was only for the worst psychotic violent and truly dangerous patients in the ER.We've done 10-2-50 before but not 10-4-50. That sounds wonderful.
Good answer? Sign In Meriwhen, ASN, BSN, MSN, RN 4 Articles; 7,907 Posts Specializes in Psych ICU, addictions. We've done 10-2-50 before but not 10-4-50. That sounds wonderful.10/4/50 does work miracles on even the most psychotic patients.
I understand that Benadryl, Ativan, and Haldol are not compatible when given in the same syringe IV push.
However, is it safe to give when they are mixed in the same syringe and given IM?