IV Lasix, Phenergan, Solumedrol

  1. Hi, I am new to this website and am a first year nursing student in my second semester of school. Our instuctor has told us to learn about the following IV therapies: Lasix, Phenergan and Solumedrol. Any help that anyone can give to me would be greatly appreciated.
  2. Visit free50 profile page

    About free50

    Joined: Feb '06; Posts: 2


  3. by   JentheRN05
    Well I have ONE suggestion. ALWAYS dilute phenergan. It kills the veins and hurts like heck!! I dilute it nearly 50/50 because it is so incredibly bad, actually more than that (dilution wise). Phenergan (if I remember correctly) also potentiates major pain killers so it must be given with caution. But not many know this secret.

    Lasix, ALWAY watch potassium - with lasix as fluid as removed from the body the potassium is also removed and potassium levels almost always drop, it should almost always be given with a potassium supplement such as Kdur.

    Solumedrol - if I remember correctly ALWAY be careful administering this with diabetics because I believe it raises blood sugar.

    Okay so maybe I had more in this tired mind than I thought Hope it helps
  4. by   EricTAMUCC-BSN
    Not a whole lot to add to what Jen said, but i'll add anyways

    Promethazine is a Phenyl D. It was first used as a pesticide, it contains Hg. It is often used for nausea. It can be used for anxiety, inflammation, and psychosis.
  5. by   GooeyRN
    I agree on diluting the phengergan. It can make lol confused. I learned this through experience. They can also hallucinate. IV lasix works pretty quick. Push it slow and be expecting to take them to the BR very frequently for the next 2 hours or so. If giving Solumedrol IV push watch for an increase in heart rate. Its not as common if given slowly through IVPB but it can still happen. Also watch those blood sugars in diabetics.
  6. by   zacarias
    Lasix should be given slow IV push...it is not a benign drug. If given too fast, it can cause ototoxity or in the worst case scenario, cardiovascular collapse. (the latter won't happen if you remember to to not "shove" the drug in)
  7. by   free50
    Many thanks to everyone who responded to my request for information on IV Lasix, Phenergan, and Solumedrol. The information was quite helpful and greatly appreciated!

Must Read Topics