a dumb question

Specialties Emergency

Published

If you have a pt. with limited iv access....is it ever ok to give blood with, say, sandostatin? Seeing as how the pt has h/h of 3/10 with diprovan going in #2 line and protonix going in #3 line and no central line (and no other access?). Blood was not typed/crossed due to h/h. silly me, I thought blood reaction was better than certain death, but would like your opinions.

I would definitely have asked the doc. I would never give blood with anything but NS in the same line. From your description it seems like blood takes priority over Protonix, with an H&H like that. Sometimes the doc just has to prioritize or get better access.

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Specializes in Emergency Room.

er doc for whatever reason just didn't want to put in a cvc. Pt wasn't in the er long. By the time blood was hanging, helicopter was on ground, and pt. was flown out. Thanks for your responses!

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We give our Protonix IVP. But if it was hanging in a bag, I would have stopped the protonix and given the blood.

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Specializes in Tele, ED/Pediatrics, CCU/MICU.

What is the intended effect of the Sandostatin in these patient scenarios?

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Specializes in ED.

I agree with asking which medication could be stopped for a short time while the blood was infused. Also, we use the EZY I/O in our ED in extreme emergency situations.

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Am I wrong for suggesting this? Might be simple and not very helpful, but why not IV push the protonix instead of piggybacking it in? We give IV push protonix all the time in the ED I work at...

?

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Specializes in ER.

You can push the protonix and then infuse the blood through that line.

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Specializes in onc, M/S, hospice, nursing informatics.

I could be mistaken, but the way I read it, the Protonix was a gtt, not just a push.

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Specializes in Peds, ER/Trauma.
I could be mistaken, but the way I read it, the Protonix was a gtt, not just a push.

I have seen Protonix as a continuous drip, but in this case, a one-time dose could have been given IV push, at least until better access was obtained to start the drip again.

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Specializes in Emergency Room.

protonix was iv push bolus, then gtt. Thanks for all your responses. Last I heard pt had a successful TIPS and was out of ICU and on a tele floor.:w00t:

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