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How do you administer Mucomyst orally?

Posted
IlovenursingRN IlovenursingRN (Member)

Specializes in Med/Surg. Has 4 years experience.

We all give it differently and there has to be some type of protocol or manufacturers directions but I sure can't find them anywhere.

We have given it with 4 oz of juice, 6 oz of diet soda, 6 oz of orange juice, 2 oz of Kool-aid, how do you give it? and is it protocol?

chelli73

Has 11 years experience.

where I work we use Pepsi only for oral admin.....something about it needing to be dark carbonation...

heart27

Specializes in Cardiovascular. Has 9 years experience.

We all give it differently and there has to be some type of protocol or manufacturers directions but I sure can't find them anywhere.

We have given it with 4 oz of juice, 6 oz of diet soda, 6 oz of orange juice, 2 oz of Kool-aid, how do you give it? and is it protocol?

Thats how I've learned to give it. My pt MAR usually has the same directions as prescribed by pharmacy. If I were the pt thats how id want it cause the smell is so foul! I would not want the taste to be similar to the smell.

sunnycalifRN

Has 6 years experience.

What you dilute it with doesn't matter, as far as I know. Just tell the patient to hold their nose, and drink it down. Just kidding!!

Seriously, just dilute it in something with flavor, like OJ or grape drink. Tell the patient that it smells like rotten eggs but that it is a medication, then down the hatch.

FlyingScot, RN

Specializes in Peds/Neo CCT,Flight, ER, Hem/Onc. Has 28 years experience.

Believe it or not...chocolate milk!

PAERRN20

Specializes in ER. Has 3 years experience.

I have never administered Mucomyst orally, just IV, but when a family member was in the hospital they just used a syringe and squirted it down. I was not happy about that!

MERRYWIDOW46

Specializes in ER, OR, PACU, TELE, CATH LAB, OPEN HEART. Has 33 years experience.

The preferred method is in OJ at my facility. But I have seen it in most any juice, cola, gingerale, and even water. The smell is horrible but the effect wonderful.

AnnaN5

Specializes in AGNP. Has 7 years experience.

I personally ask my patient what type of juice they want it mixed with. We don't have protocol about what or how much it needs to be mixed with. Some patients have asked me to just squirt it in their mouth and they chase it with juice or water.

mom4josh

Specializes in onc, M/S, hospice, nursing informatics. Has 11 years experience.

The directions I read says 4 oz. juice or other beverage (I think that grape or other strong flavor would be best). I measure the Mucomyst in a syringe, then pierce the juice cover with the needle and inject it, swirl it a bit, then insert straw. My patient the other night didn't even make a face when she drank it!

pagandeva2000, LPN

Specializes in Community Health, Med-Surg, Home Health.

I saw nurses use a bulb and squirt in the patient's mouth. I have not personally given Mucomyst, so, I don't know the instructions...however, even from across the room, it was an awful smell. I only hope it doesn't taste the same to the poor patient.

HappyNurse2005, RN

Specializes in LDRP.

where I used to work, it was mixed in a styrofoam cup of coke.

nurse_mo1986

Has 3 years experience.

Well, I might get flamed for this but here's my honest opinion. If the pt is getting it for a legit reason then I dilute it in 6 oz of dark soda.

if the pt is getting it because they "took tylenol so I could just die" then they're gettin it full strength, undiluted with a syringe.

scootertrash nurse

Specializes in intensive care major medical centers.

Chocolate milk if the liguid or use the gel tabs

freefalr

Has 10 years experience.

in cold bit of cola w/lid so you can't smell it & straw. drink quickly! blech.

swifty1031

Has 3 years experience.

I have found that the best is cran-grape. Most of my pt.s seem to be ok with this, it does smell horrible. One time a friend of mine opened the vial and it flew all over her! She smelled horrible. She had to go get scrubs from OR, I don't know if she ever got the odor out of her scrubs!!

zamboni

Specializes in ER.

The directions I read says 4 oz. juice or other beverage (I think that grape or other strong flavor would be best). I measure the Mucomyst in a syringe, then pierce the juice cover with the needle and inject it, swirl it a bit, then insert straw. My patient the other night didn't even make a face when she drank it!

This is pure genius! I'm so going to use this next time. Might want to swab off the top of the container a bit...but I love this idea. :up:

Purple_Scrubs, BSN, RN

Specializes in School Nursing. Has 8 years experience.

Back in the day when I worked in the hospital, we used the little 1oz med cups, mixed it with just a bit of a very tart cranberry juice and had the patient take it like a "shot", then chase it with the rest of the pure cranberry juice. I never had one patient complain!

Oz2

Specializes in rehab, long-term care, ortho. Has 2 years experience.

Well, I might get flamed for this but here's my honest opinion. If the pt is getting it for a legit reason then I dilute it in 6 oz of dark soda.

If the pt is getting it because they "took tylenol so I could just die" then they're gettin it full strength, undiluted with a syringe.

So feeling so desperate and hopeless that you want to kill yourself is not a 'legit' reason? You must know there is something inherently wrong with this attitude, or you wouldn't have predicted a response to your post. Not all illness is physical, as I'm sure you learned in your psych rotations. I really hope you reconsider this attitude. Don't serve as proof to your suicidal patients how harsh the world can be.