Ever give thorazine(chlorpromazine)IV?

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Specializes in Post Anesthesia.

We have 2 physicians that are opposed to using haloperidol and/or lorazepam IV for post-op aggitation and/or ICU psychosis. Both have used thorazine IV in the past but our pharmasists will not mix it for PRN IVP administration. No one is sure as to the dose and dilution- the docs just used to follow a pharmasist recommended protocal at another hospital. Anybody use this med regularly? How is it mixed and what dose is common? Nursing considerations other than the obvious- oversedation, resp. depression, hypotension...?

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Specializes in ER, ICU, Infusion, peds, informatics.

i've given it ivpb for hiccups a few times, but it has been a while.

pharmacy would put it in 50cc ns and we'd run it over 30-60 min (30 min for 25mg/60min for 50mg)

(as i'm typing this, i realize it sounds odd to give iv thorazine to a patient for hiccups. these were npo trauma patients without a functional gi tract. not sure why we didn't give it im, other than we didn't give much im. the hiccups were thought to be related to a chi.)

you're supposed to watch for hypotension/keep them lying flat for 30 min afterwards.

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Specializes in med-surg, MICU/SICU, Csurg ICU, HH.
i've given it ivpb for hiccups a few times, but it has been a while.

pharmacy would put it in 50cc ns and we'd run it over 30-60 min (30 min for 25mg/60min for 50mg)

(as i'm typing this, i realize it sounds odd to give iv thorazine to a patient for hiccups. these were npo trauma patients without a functional gi tract. not sure why we didn't give it im, other than we didn't give much im. the hiccups were thought to be related to a chi.)

you're supposed to watch for hypotension/keep them lying flat for 30 min afterwards.

i've given thorazine for hiccups too, but only im. it works great though!:nurse:

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Specializes in ICU, Telemetry.

Same here, for a pt who'd had major resection of his colon, leaving him about 6 inches of functioning large intestine. Worst case of hiccups I ever saw. We did it IM.

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My cousin takes this. It rotted her teeth out.

I understand this is pretty serious stuff, but she has a pretty serious case of schizophrenia (violent type) and delusions.

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Specializes in Emergency.

Used it for hiccups and migraines. Given slow push to diluted in as much as a liter bag or IM. Where I am now RX sends in a 100 ml bag of NS if we give it IV at all.

Rj

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