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I have a port and have had it for 2 years because of terrible veins and frequent IV's. I go to the hospital for IV magnesium twice a week. Each time they give me 50mg benedryl and 50 mg phenergan before and after the treatment. Do those drugs need to be diluted quit a bit before giving them? I don't feel them burn but I wonder because I get it so often would it hurt my artery close to my heart that it is in? :stone
I know they should be diluted alot when giving in peripheral vein because they are hard on veins. I am not real sure about a port. I would personally dilute them.
Antibiotics have different minimal dilution levels depending on whether they are given peripherally or centrally. I have seen KCl given undiluted via slow drip in a PICU in a central line, althought they would only do it in exceptional circumstances. So my answer would be that it CAN be given undiluted. If you are nervous about it though I don't see any big deal about having it diluted, or flushing like mad afterwards. To make yourself feel better why not call a pharmacist and get it from the horse's mouth?
i just had a situation like this the other day in my clinicals with iv push phenergan. from what i understand/have seen, if you are pushing phenergan in a picc, central line or port you can give it undiluted, but in a peripheral vein it is a good idea to dilute it in NS (and how much NS differs from hospital to hospital) because it is such a vaso-irritant.
curleysue
100 Posts
I have a port and have had it for 2 years because of terrible veins and frequent IV's. I go to the hospital for IV magnesium twice a week. Each time they give me 50mg benedryl and 50 mg phenergan before and after the treatment. Do those drugs need to be diluted quit a bit before giving them? I don't feel them burn but I wonder because I get it so often would it hurt my artery close to my heart that it is in? :stone