IV forms of Zofran and Decadron given PO??? - page 4

Have any of you ever heard or worked in an ER where they gave the IV/IM form of Zofran or Decadron PO instead? :confused:... Read More

  1. by   brainkandy87
    Quote from LunahRN
    Now we're good, but running out of Toradol again...
    Yeah, samesies. And our 60 mg is IM only. Anyone know why that is?
  2. by   Pixie.RN
    Quote from brainkandy87
    Yeah, samesies. And our 60 mg is IM only. Anyone know why that is?
    Our 60 mg vials said the same -- IM only -- though our pharmacy confirmed that it was IV-able as well.
  3. by   SMARN
    Quote from LunahRN

    Our 60 mg vials said the same -- IM only -- though our pharmacy confirmed that it was IV-able as well.
    I have never given the 60mg IV, and wouldn't. And when we were out of the 30mg vials, we were told not to take the 60s and give half. According to the manufacturer there is a reason for this, our pharmacy didn't know specifics. But I'm not taking the chance on causing kidney damage.

    I've never heard of giving the IV decadron and IV zofran as PO; never had it ordered that way. We have the PO versions of both, fortunately, but will keep this info handy just in case!
  4. by   LocNurse
    Yes I have given zofran given PO and zofran ODT (Orally Disintegrating Tablet).
  5. by   MassED
    Quote from GleeGum
    Have any of you ever heard or worked in an ER where they gave the IV/IM form of Zofran or Decadron PO instead?
    Yes for IV Decadron given PO, you just add a sweetener to it.
  6. by   nuangel1
    we use the iv decadron and give it po.we have po and iv doses of zofran.but the shortages of meds is painful in the last year fro us it was propofol,morhine now ,reglan and zofran also .the list gets longer and longer.
  7. by   on_the_move
    I've given IV decadron PO countless times to peds pts. I've never seen a PO form of it and usually with peds we try PO if they're stable enough to take it (mixed with juice, it tastes horrible alone). Decadron is used over prednisolone because it's more potent.

    As far as Zofran, I've never given IV preparations PO. But again, with peds I would sometimes have to melt an ODT in water and give it to the pt through a syringe. Maybe some places just use the IV preparation instead...
  8. by   ~Mi Vida Loca~RN
    Never heard of IV form of Zofran given PO (why not just give Zofran ODT?) but we give IV Decadron PO all the time. I think I have only given it to kiddos that way.
  9. by   brainkandy87
    Gave 6 mg IV in a cup of apple juice tonight. A whole cup of juice with 1.5 ml of Decadron mixed in and she still said it tasted like crap. Woe is PO Decadron.
  10. by   Pixie.RN
    Quote from ~Mi Vida Loca~RN
    Never heard of IV form of Zofran given PO (why not just give Zofran ODT?)
    We only have 8mg ODT in our medication arsenal, so it's much easier (and way more accurate in dosing) to use the IV liquid for PO administration for those little kiddos where 2mg is ordered.
  11. by   SMARN
    So, I asked around my ED to the other nurses if they've ever given IV meds PO. They all kinda looked at me like I was growing horns out if my head, lol. I took that as a no.

    I asked our night shift PA if she ever had (she was an EMT, then an RN) - she said she hadn't given it PO, but she has given IV Valium in the rectum for a seizure pt who was a hard stick with no line.
  12. by   Altra
    Quote from SMARN
    So, I asked around my ED to the other nurses if they've ever given IV meds PO. They all kinda looked at me like I was growing horns out if my head, lol. I took that as a no.

    I asked our night shift PA if she ever had (she was an EMT, then an RN) - she said she hadn't given it PO, but she has given IV Valium in the rectum for a seizure pt who was a hard stick with no line.
    I think this misrepresents the original question: OP asked if anyone was familiar with giving certain specific IV meds p.o.

    The oral suspension steroids (OraPred, etc.) taste terrible ... much easier to disguise 1mL IV Decadron in a small quantity of apple juice or ginger ale than to undergo the battle of getting a kiddo to tolerate 5-10mL of OraPred.
  13. by   cardiacqueen
    Yes to decadron. I've also seen iv vancomycin ordered po, just because the po pills are so expensive.

    no to zofran-if no iv access why not give IM or the ODT by mouth?

close