Just thought I would bring a recent experience up for discussion:
29 May I end up in ER w/24 hours of extreme chills (long sleeve T-shirt, PJs, 2 blankets, quilt and down sleeping bag), intermittent, transient bone and joint pain, nausea and vomiting. I was given an IV set near the base of the thumb for fluids and then an IV "push" of phenergan and toradol at the site of the IV set rather than up the line where it would have been somewhat diluted. As a 30 year Crohn's disease patient I have had PLENTY of IV and IM phenergan and demerol w/o any discomfort or problems. But this one BURNED and HURT! The nurse continued the "push" and explained that it was the phenergan. I didn't really believe this given my previous experiences and assumed it was really the toradol as that was my first experience with it. The pain and burning only lasted a few minutes after the "push".
I had no swelling of the hand or arm, no pain, no redness for several days. Long enough that I never even thought of the IV push when I began with a bruised type feeling on the inside of the arm just above the wrist and the outside of the arm 1/2 below the elbow. Several days after that I did notice a hard stretch of vein about 3/4" long 1/2 way below the elbow on the outside of the arm. Later a "bump" at the wrist, still later another 3/4" hard stretch of vein just above and a little to the outside of the bump. And then a 1/2" hard spot in the vein below the base of the thumb at the wrist. It finally occured to me that this was probably the result of the IV push but since there was no redness, no swelling, no tenderness unless I kept poking the areas I didn't bother seeing a doctor about it. (Heaven knows I see him enough as it is, bless his heart!).
21 July the "bump" at the wrist turned red and was tender. Hot compresses did nothing for it that evening nor the next morning. My family doctor isn't in the office on Fridays and I figured the ER IV push was the cause so I went to ER. I was told it was "just" superficial thrombophlebits that could take as much as 6 months to resolve and was about to be released (which was ok with me as long as the doctors weren't concerned). But the "lead" ER doctor came in, first time I had seen her, and she said she would feel more comfortable ordering a venous ultrasound before I was released as she had had 2 STs go "sour" on her in the previous 3 months. I didn't have a problem with that so of course I agreed. What the heck, she was the doctor.
Ha! Turns out I had a deep vein thrombosis in the axillary vein in that upper arm! You could have floored me!! I ended up being admitted and given IV heparin drip and oral coumadin. Upon release 3 days later I had to agree to daily blood draws which was a cheap price to pay to be released from the hospital since I didn't feel sick and didnt hurt.
I've since been reading up on STs and DVT and realize my part in letting things go so far. However, I've found quite a bit of controversey on IV phenergan (and also demerol). The Infusion Nurses Society Standard # 43 specifically states phenergan should NOT be given IV due to its PH and potential for harm.
Frankly, given my experience thru the years and the blessing that IV and IM phenergan (and demerol) has been I would hate to see its use be discontinued. However, this was the first and only time phenergan was ever administered IV that close to the IV set instead of up the line where it gets diluted w/the IV fluids.
I'd be interested in your thoughts and experiences on this event and the use and method of administering IV phenergan. Mind you, my mother worked at this hospital all the while I was growing up, other than Mayo Clinic it is the only hospital I have ever gone to (altho we have another in town) and I've been volunteering here for several years in Endoscopy or Messenger Service. I'm not looking to cause any trouble and I know my ER nurse from previous encounters in the cafeteria and elsewhere at the hospital and he is a fine and conscientious nurse. He was marvelous when my brother in law was brought in with an AAA.
I agree and in fact as an ICU nurse I never gave these drugs IV, but IM only.
I was given phenergan and toradol IV in ER last December via a Hep Lock and
my vein was red,hard, and very sore for several months afterwards.
My PCP said this was common practice and no follow-up was done. I have a new PCP now.
Yoda
Just thought I would bring a recent experience up for discussion:
29 May I end up in ER w/24 hours of extreme chills (long sleeve T-shirt, PJs, 2 blankets, quilt and down sleeping bag), intermittent, transient bone and joint pain, nausea and vomiting. I was given an IV set near the base of the thumb for fluids and then an IV "push" of phenergan and toradol at the site of the IV set rather than up the line where it would have been somewhat diluted. As a 30 year Crohn's disease patient I have had PLENTY of IV and IM phenergan and demerol w/o any discomfort or problems. But this one BURNED and HURT! The nurse continued the "push" and explained that it was the phenergan. I didn't really believe this given my previous experiences and assumed it was really the toradol as that was my first experience with it. The pain and burning only lasted a few minutes after the "push".
I had no swelling of the hand or arm, no pain, no redness for several days. Long enough that I never even thought of the IV push when I began with a bruised type feeling on the inside of the arm just above the wrist and the outside of the arm 1/2 below the elbow. Several days after that I did notice a hard stretch of vein about 3/4" long 1/2 way below the elbow on the outside of the arm. Later a "bump" at the wrist, still later another 3/4" hard stretch of vein just above and a little to the outside of the bump. And then a 1/2" hard spot in the vein below the base of the thumb at the wrist. It finally occured to me that this was probably the result of the IV push but since there was no redness, no swelling, no tenderness unless I kept poking the areas I didn't bother seeing a doctor about it. (Heaven knows I see him enough as it is, bless his heart!).
21 July the "bump" at the wrist turned red and was tender. Hot compresses did nothing for it that evening nor the next morning. My family doctor isn't in the office on Fridays and I figured the ER IV push was the cause so I went to ER. I was told it was "just" superficial thrombophlebits that could take as much as 6 months to resolve and was about to be released (which was ok with me as long as the doctors weren't concerned). But the "lead" ER doctor came in, first time I had seen her, and she said she would feel more comfortable ordering a venous ultrasound before I was released as she had had 2 STs go "sour" on her in the previous 3 months. I didn't have a problem with that so of course I agreed. What the heck, she was the doctor.
Ha! Turns out I had a deep vein thrombosis in the axillary vein in that upper arm! You could have floored me!! I ended up being admitted and given IV heparin drip and oral coumadin. Upon release 3 days later I had to agree to daily blood draws which was a cheap price to pay to be released from the hospital since I didn't feel sick and didnt hurt.
I've since been reading up on STs and DVT and realize my part in letting things go so far. However, I've found quite a bit of controversey on IV phenergan (and also demerol). The Infusion Nurses Society Standard # 43 specifically states phenergan should NOT be given IV due to its PH and potential for harm.
Frankly, given my experience thru the years and the blessing that IV and IM phenergan (and demerol) has been I would hate to see its use be discontinued. However, this was the first and only time phenergan was ever administered IV that close to the IV set instead of up the line where it gets diluted w/the IV fluids.
I'd be interested in your thoughts and experiences on this event and the use and method of administering IV phenergan. Mind you, my mother worked at this hospital all the while I was growing up, other than Mayo Clinic it is the only hospital I have ever gone to (altho we have another in town) and I've been volunteering here for several years in Endoscopy or Messenger Service. I'm not looking to cause any trouble and I know my ER nurse from previous encounters in the cafeteria and elsewhere at the hospital and he is a fine and conscientious nurse. He was marvelous when my brother in law was brought in with an AAA.
We dilute both toradol and phenergan with saline in a larger syringe when ever we have to give it close to the site. I makes a huge difference in comfort levels. Just two or three cc's of saline makes a huge diff.
I hope y'all don't mind my posting. I'm not an RN---yet;-)---just an ADN student; got in last fall, audited due to personal/financial reasons, and got back in for this fall, etc. but this post caught my attention b/c I'd NEVER had Phenergan that I recall--NOR Toradol--and I received IV Phenergan when I had my April surgery (I had a shunt revision--brand new non-programmable 15. Delta VP shunt) and after having had a radionuclide shuntogram, MRI w/contrast--about an hr. long, having to sit up, lie down CONSTANTLY, etc., receiving Percocet for pain--HAs, especially, moving around re: the tests, and while waiting to be taken back to my room after the MRI, I vomited :imbar . Also, *AS SOON* as I got back to my room, off the gurney, and sat down on my bed, the nausea hit and I vomited four times, one after another. :imbar THAT is one thing I'll never forget. Sheesh! Unfortunately, before my MRI, I had "made the mistake" of eating lunch...sooooo...even though I didn't vomit much, it was still the fact it occurred. *SIGH*
Anyway, my IV Phenergan was diluted--good nurse!! LOL :chuckle ;-)--my Morphine was only diluted *once* in all the times I received it and that was in between grams---I think I received two and so...she was nice too. *THAT* helped!! That was also the only time I remember receiving Percocet with Morphine, which unfortunately didn't help my pain any. *SIGH*
Toradol I have only received once and that was during my recent "shunt crises" too---before the shunt revision--IM. It worked, hurt like hell for a minute or so, but hey... :) .
I've found out Morphine is CRAP in re: to me/my pain. LOL. *SIGH* IV Dilaudid on the other hand...WOW! :rotfl: Woah boy! THAT works! Phenergan's good if ya want to sleep--and of course, want relief from N/V--that is, IF it works for you. I will say, Phenergan worked in NO time with me--I swear it worked in FIVE minutes, if not THAT quick, 10 MAX!
Zanaflex is good for my migraines, when I needed to take it/was allowed to take it...but I've been "BANNED"--- :rotfl: --from taking it, along with my Maxalt--and put on Frova for the time being (although I have Rx's for the other two; just need to take them when ABSOLUTELY necessary The resident I saw July 20, who was present in the hospital when I was dx'd May 13, said I was rebounding and made it sound like I was pill-popping and/or taking it like it was candy. *SIGH* again! GRRR!).
It's been an interesting few months, I'll tell y'all that. to you all, and I REALLY enjoyed this post (and MANY, MANY others!!)!!
Erin:-)
P.S. Of course, with ALL the other IV Morphine doses, they burned like HELL---OUCH---! *SIGH* That's NOT something I hope to experience "often"--LOL. Oh boy...! Then again, if I tell them Morphine won't do anything for my pain if they'll consider something else...***ponders***. AND I'm NOT a drug seeker--no one would wonder that though, not the ones that know me, which that's the majority! LOL;-P
I have found that both drugs can be given by sl but phenergan has to be diluted in at least 10cc ns and given slowly over several minutes to keep it from burning. Toradal also does better if diluted and given slowly though I
don't take as long to give it. I rarely have pts complain and if they do I immedialely slow the rate at which I give the drug.
o]Just thought I would bring a recent experience up for
discussion:
29 May I end up in ER w/24 hours of extreme chills (long sleeve T-shirt, PJs, 2 blankets, quilt and down sleeping bag), intermittent, transient bone and joint pain, nausea and vomiting. I was given an IV set near the base of the thumb for fluids and then an IV "push" of phenergan and toradol at the site of the IV set rather than up the line where it would have been somewhat diluted. As a 30 year Crohn's disease patient I have had PLENTY of IV and IM phenergan and demerol w/o any discomfort or problems. But this one BURNED and HURT! The nurse continued the "push" and explained that it was the phenergan. I didn't really believe this given my previous experiences and assumed it was really the toradol as that was my first experience with it. The pain and burning only lasted a few minutes after the "push".
I had no swelling of the hand or arm, no pain, no redness for several days. Long enough that I never even thought of the IV push when I began with a bruised type feeling on the inside of the arm just above the wrist and the outside of the arm 1/2 below the elbow. Several days after that I did notice a hard stretch of vein about 3/4" long 1/2 way below the elbow on the outside of the arm. Later a "bump" at the wrist, still later another 3/4" hard stretch of vein just above and a little to the outside of the bump. And then a 1/2" hard spot in the vein below the base of the thumb at the wrist. It finally occured to me that this was probably the result of the IV push but since there was no redness, no swelling, no tenderness unless I kept poking the areas I didn't bother seeing a doctor about it. (Heaven knows I see him enough as it is, bless his heart!).
21 July the "bump" at the wrist turned red and was tender. Hot compresses did nothing for it that evening nor the next morning. My family doctor isn't in the office on Fridays and I figured the ER IV push was the cause so I went to ER. I was told it was "just" superficial thrombophlebits that could take as much as 6 months to resolve and was about to be released (which was ok with me as long as the doctors weren't concerned). But the "lead" ER doctor came in, first time I had seen her, and she said she would feel more comfortable ordering a venous ultrasound before I was released as she had had 2 STs go "sour" on her in the previous 3 months. I didn't have a problem with that so of course I agreed. What the heck, she was the doctor.
Ha! Turns out I had a deep vein thrombosis in the axillary vein in that upper arm! You could have floored me!! I ended up being admitted and given IV heparin drip and oral coumadin. Upon release 3 days later I had to agree to daily blood draws which was a cheap price to pay to be released from the hospital since I didn't feel sick and didnt hurt.
I've since been reading up on STs and DVT and realize my part in letting things go so far. However, I've found quite a bit of controversey on IV phenergan (and also demerol). The Infusion Nurses Society Standard # 43 specifically states phenergan should NOT be given IV due to its PH and potential for harm.
Frankly, given my experience thru the years and the blessing that IV and IM phenergan (and demerol) has been I would hate to see its use be discontinued. However, this was the first and only time phenergan was ever administered IV that close to the IV set instead of up the line where it gets diluted w/the IV fluids.
I'd be interested in your thoughts and experiences on this event and the use and method of administering IV phenergan. Mind you, my mother worked at this hospital all the while I was growing up, other than Mayo Clinic it is the only hospital I have ever gone to (altho we have another in town) and I've been volunteering here for several years in Endoscopy or Messenger Service. I'm not looking to cause any trouble and I know my ER nurse from previous encounters in the cafeteria and elsewhere at the hospital and he is a fine and conscientious nurse. He was marvelous when my brother in law was brought in with an AAA.
Thanks, I'm retired from nursing and am now on the other end of the stethoscope. I was in no condition to defend myself when I was in ER. I really should move to some place that provides good medical care...where?
I love living in the mountains and hate to move.
I have found that both drugs can be given by sl but phenergan has to be diluted in at least 10cc ns and given slowly over several minutes to keep it from burning. Toradal also does better if diluted and given slowly though I
don't take as long to give it. I rarely have pts complain and if they do I immedialely slow the rate at which I give the drug.
o]Just thought I would bring a recent experience up for
discussion:
29 May I end up in ER w/24 hours of extreme chills (long sleeve T-shirt, PJs, 2 blankets, quilt and down sleeping bag), intermittent, transient bone and joint pain, nausea and vomiting. I was given an IV set near the base of the thumb for fluids and then an IV "push" of phenergan and toradol at the site of the IV set rather than up the line where it would have been somewhat diluted. As a 30 year Crohn's disease patient I have had PLENTY of IV and IM phenergan and demerol w/o any discomfort or problems. But this one BURNED and HURT! The nurse continued the "push" and explained that it was the phenergan. I didn't really believe this given my previous experiences and assumed it was really the toradol as that was my first experience with it. The pain and burning only lasted a few minutes after the "push".
I had no swelling of the hand or arm, no pain, no redness for several days. Long enough that I never even thought of the IV push when I began with a bruised type feeling on the inside of the arm just above the wrist and the outside of the arm 1/2 below the elbow. Several days after that I did notice a hard stretch of vein about 3/4" long 1/2 way below the elbow on the outside of the arm. Later a "bump" at the wrist, still later another 3/4" hard stretch of vein just above and a little to the outside of the bump. And then a 1/2" hard spot in the vein below the base of the thumb at the wrist. It finally occured to me that this was probably the result of the IV push but since there was no redness, no swelling, no tenderness unless I kept poking the areas I didn't bother seeing a doctor about it. (Heaven knows I see him enough as it is, bless his heart!).
21 July the "bump" at the wrist turned red and was tender. Hot compresses did nothing for it that evening nor the next morning. My family doctor isn't in the office on Fridays and I figured the ER IV push was the cause so I went to ER. I was told it was "just" superficial thrombophlebits that could take as much as 6 months to resolve and was about to be released (which was ok with me as long as the doctors weren't concerned). But the "lead" ER doctor came in, first time I had seen her, and she said she would feel more comfortable ordering a venous ultrasound before I was released as she had had 2 STs go "sour" on her in the previous 3 months. I didn't have a problem with that so of course I agreed. What the heck, she was the doctor.
Ha! Turns out I had a deep vein thrombosis in the axillary vein in that upper arm! You could have floored me!! I ended up being admitted and given IV heparin drip and oral coumadin. Upon release 3 days later I had to agree to daily blood draws which was a cheap price to pay to be released from the hospital since I didn't feel sick and didnt hurt.
I've since been reading up on STs and DVT and realize my part in letting things go so far. However, I've found quite a bit of controversey on IV phenergan (and also demerol). The Infusion Nurses Society Standard # 43 specifically states phenergan should NOT be given IV due to its PH and potential for harm.
Frankly, given my experience thru the years and the blessing that IV and IM phenergan (and demerol) has been I would hate to see its use be discontinued. However, this was the first and only time phenergan was ever administered IV that close to the IV set instead of up the line where it gets diluted w/the IV fluids.
I'd be interested in your thoughts and experiences on this event and the use and method of administering IV phenergan. Mind you, my mother worked at this hospital all the while I was growing up, other than Mayo Clinic it is the only hospital I have ever gone to (altho we have another in town) and I've been volunteering here for several years in Endoscopy or Messenger Service. I'm not looking to cause any trouble and I know my ER nurse from previous encounters in the cafeteria and elsewhere at the hospital and he is a fine and conscientious nurse. He was marvelous when my brother in law was brought in with an AAA.
I am a relatively new nurse- just got my license last November but the first time I had to push phenergan, I remember being told by the veterans that were training me to make sure it was diluted and pushed slowly because it burns, the other ones I have heard about are IV Kcl and Dilantin, had not heard about the demerol. Now, I usually run in with a NS after diluting in the syringe or dilute it to push it through a lock. I have not had any pt complain yet but I am sure there is someone out there who will be more sensitive and require a new way of doing things....
:Melody:
Stargazer,
Just wanted to make sure that you are referring to the fact that IV K+ and dilantin burn and NOT that you are pushing them.... I know you probably know but just want to make sure anyway...(the submission wasn't clear to me Good luck in your career!
I work in a children's hospital and we never push phergan or toradol. However, I was recently a patient where toradol was given IM and phergan IM. I questioned this, the doctor told me they have longer lasting effects doing them IM. He also stated that according to the nurses he worked with it preserved the IV site. I will state this, toradol given IM leaves you with very sore buttocks for weeks, it did work well. I later questioned the pharmacist at the hospital where I work, he agreed with the doc, but reminded me that with children we don't give shots and never push either of the drugs
Just thought I would bring a recent experience up for discussion:
29 May I end up in ER w/24 hours of extreme chills (long sleeve T-shirt, PJs, 2 blankets, quilt and down sleeping bag), intermittent, transient bone and joint pain, nausea and vomiting. I was given an IV set near the base of the thumb for fluids and then an IV "push" of phenergan and toradol at the site of the IV set rather than up the line where it would have been somewhat diluted. As a 30 year Crohn's disease patient I have had PLENTY of IV and IM phenergan and demerol w/o any discomfort or problems. But this one BURNED and HURT! The nurse continued the "push" and explained that it was the phenergan. I didn't really believe this given my previous experiences and assumed it was really the toradol as that was my first experience with it. The pain and burning only lasted a few minutes after the "push".
I had no swelling of the hand or arm, no pain, no redness for several days. Long enough that I never even thought of the IV push when I began with a bruised type feeling on the inside of the arm just above the wrist and the outside of the arm 1/2 below the elbow. Several days after that I did notice a hard stretch of vein about 3/4" long 1/2 way below the elbow on the outside of the arm. Later a "bump" at the wrist, still later another 3/4" hard stretch of vein just above and a little to the outside of the bump. And then a 1/2" hard spot in the vein below the base of the thumb at the wrist. It finally occured to me that this was probably the result of the IV push but since there was no redness, no swelling, no tenderness unless I kept poking the areas I didn't bother seeing a doctor about it. (Heaven knows I see him enough as it is, bless his heart!).
21 July the "bump" at the wrist turned red and was tender. Hot compresses did nothing for it that evening nor the next morning. My family doctor isn't in the office on Fridays and I figured the ER IV push was the cause so I went to ER. I was told it was "just" superficial thrombophlebits that could take as much as 6 months to resolve and was about to be released (which was ok with me as long as the doctors weren't concerned). But the "lead" ER doctor came in, first time I had seen her, and she said she would feel more comfortable ordering a venous ultrasound before I was released as she had had 2 STs go "sour" on her in the previous 3 months. I didn't have a problem with that so of course I agreed. What the heck, she was the doctor.
Ha! Turns out I had a deep vein thrombosis in the axillary vein in that upper arm! You could have floored me!! I ended up being admitted and given IV heparin drip and oral coumadin. Upon release 3 days later I had to agree to daily blood draws which was a cheap price to pay to be released from the hospital since I didn't feel sick and didnt hurt.
I've since been reading up on STs and DVT and realize my part in letting things go so far. However, I've found quite a bit of controversey on IV phenergan (and also demerol). The Infusion Nurses Society Standard # 43 specifically states phenergan should NOT be given IV due to its PH and potential for harm.
Frankly, given my experience thru the years and the blessing that IV and IM phenergan (and demerol) has been I would hate to see its use be discontinued. However, this was the first and only time phenergan was ever administered IV that close to the IV set instead of up the line where it gets diluted w/the IV fluids.
I'd be interested in your thoughts and experiences on this event and the use and method of administering IV phenergan. Mind you, my mother worked at this hospital all the while I was growing up, other than Mayo Clinic it is the only hospital I have ever gone to (altho we have another in town) and I've been volunteering here for several years in Endoscopy or Messenger Service. I'm not looking to cause any trouble and I know my ER nurse from previous encounters in the cafeteria and elsewhere at the hospital and he is a fine and conscientious nurse. He was marvelous when my brother in law was brought in with an AAA.
Other than for surgery I've never been given anything for pain other than IV or IM demerol until just this past 12 months. I was given morphine for the first time in ER for the pain of what turned out to be shingles. It was given IV w/fluids and the minute it hit me I began violent dry heaving and vomiting. They quickly added phenergan to the IV for relief of the nausea, heaving and vomiting, thank goodness!!!! I don't need phenergan with IV or IM demerol. Thankfully Tylenol usually works very well for me as I've had no luck w/any oral script pain reliever they've tried. They all upset my stomach and cause strong nausea whether taken w/or w/o food. I have a friend who swears by Vicodin and I get green just remembering the struggle with it during the shingles pain. I finally elected to live w/the pain rather than the nausea.
My son is a crohnie also! Welcome to our family. My experience as a nurse leads me to believe that maybe if they would have diluted the push before giving it, the burn wouldnt have been so bad. Phenergan is a very damaging medication and should be given slow (helps). Sorry to hear about your experience, hopefully we all learned something from it.
It's amazing when you start looking at the pH of many of the drugs we routinely give. Morphine has a pH of around 4.0, if I remember right. I have had several patients c/o pain with Toradol IV - I now routinely dilute EVERYTHING in at least 10 cc NS, and patients have told me they can tell the difference... I agree that Phenergan would be my last choice for nausea, but it's very hard to change the doc's practice! Phenergan + order for po contrast for CT abdomen to r/o appy = very frustrated nurse!!!
Our policy is to dilute Phenergan as the others mentioned, but where I have a choice I'll start asking for Anzemet instead. But first I need to ask if you Crohn's patients ever tried that? Is it effective for you?
I've never had any complaints about it and it seems way less sedating than Phenergan.
Actually phenergan is the only thing that works to control my nausea. My concern was the way it was delivered. They fried my vein by administering it slowly yes but undiluted. They were in a hurry and more focused on getting me checked off on their to do list. I'm concerned that this is the product of the nurse shortage and instead of the nurse following her conscience and doing what's right for the patient her priority was to get a job done fast to please her superiors. Quantity instead of quality. I sure hope this is not the new breed of nurses who see nursing as a steady job rather than a calling. When the hospital I worked at did away with orderlies who came to get patients up out of bed and did transfers they lost more professional staff to back injuries. But one thing I must say is that we nurses stuck together and fought to provide better care for our patients. I believe it is important to do what you know is right even if it means defying an order - which I have done. I remember an incident in ICU where I was newly employed and the Doctor ordered me to hang a bag of Lactated Ringers on an end stage cirrhosis of the liver patient. I asked him if he was kidding. He said no. I said I can't do that, it will send that patient into a hepatic coma. Fortunately this Doctor was humble enough to ask why and after respectively explaining how the liver in these patients cannot breakdown the lactic acid he asked which IV fluid I thought best to use. Again amazed, but at least the patient survived. So I encourage my fellow nurses to be the leaders in maintaining dignity to our profession and hold fast to what you know is the right thing to do.
Yoda
It's amazing when you start looking at the pH of many of the drugs we routinely give. Morphine has a pH of around 4.0, if I remember right. I have had several patients c/o pain with Toradol IV - I now routinely dilute EVERYTHING in at least 10 cc NS, and patients have told me they can tell the difference... I agree that Phenergan would be my last choice for nausea, but it's very hard to change the doc's practice! Phenergan + order for po contrast for CT abdomen to r/o appy = very frustrated nurse!!!
:chuckle ;-)--my Morphine was only diluted *once* in all the times I received it and that was in between grams---I think I received two and so...she was nice too. *THAT* helped!! That was also the only time I remember receiving Percocet with Morphine, which unfortunately didn't help my pain any. *SIGH*
The resident I saw July 20, who was present in the hospital when I was dx'd May 13, said I was rebounding and made it sound like I was pill-popping and/or taking it like it was candy. *SIGH* again! GRRR!).
Good luck in your career!.thumb.jpg.6eeb2c01c27cfd151d706238b7f6d6b7.jpg){kind=small}
yoda
19 Posts
I agree and in fact as an ICU nurse I never gave these drugs IV, but IM only.
I was given phenergan and toradol IV in ER last December via a Hep Lock and
my vein was red,hard, and very sore for several months afterwards.
My PCP said this was common practice and no follow-up was done. I have a new PCP now.
Yoda