Published Sep 11, 2003
Does anyone know if you can push d50 thur a 24 butterfly. Such as in a code.?
It would be damn hard to do. And you might blow your access as well.
Very difficult, might be better diluted if possible. Would definitely blow access.
Now that we can not start IV's the DON stated that we could start a 24 butterfly and give d50 and I think no way.
neneRN, BSN, RN
If a 24 is your ONLY option for IV access, it'd probably be easier to give glucagon IM.
rileygrl11, BSN, RN
That stuff is hard enough to push let alone with a 24# guage needle -- it surely will blow!
It would be easy....All you have to do is run a high pressure hose to an oxygen tank attach an adapter to the end of the high pressure hose, then attach the adapter to the 24 guage butterfly, run back out to the nurses desk and open the oxygen tank...full throttle....shouldn't be a problem....(DONT FORGET TO DUCK) However, don't try this at home...SHOULD ONLY BE ATTEMPTED BY PROFESSIONAL NURSES.
m first question is WHY
ptwaterbaby "Does anyone know if you can push d50 thur a 24 butterfly. Such as in a code.?"
ptwaterbaby "Now that we can not start IV's the DON stated that we could start a 24 butterfly and give d50 and I think no way."
where do you work LTC ? in a code i personally prefer to large bore IVs i like 16s personally i can blow anything into it even the big ones like d50 and bicarb with ease. If you are able to give IV meds like the D50 in your question IAW your policy why cant you start the IV to put it in.
D50 can cause necrosis if extravasated. neneRN gives good response to try Glucagon.... or call someone else who can start a larger bore catheter.
Better to give glucagon than get sued for rotting their arm off after the D50 infiltrates.
Pushing D50 is hard anyway...I've never pushed it through anything smaller than a 20...why can't you start IVs any more?
BadBird, BSN, RN
I would tell the doctor I need I central line now!!! Actually that happened to me a few weeks ago, patient had a picc which was not the greatest, got a nice femoral triple lumen in no time at all , patient responded well, good outcome.
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