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IV push phenergan into port

Posted

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 :eek:

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 :eek:

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.

canoehead, BSN, RN

Specializes in ER. Has 30 years experience.

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?

renerian, BSN, RN

Specializes in MS Home Health.

ARe you a nursing student? Sorry I did not read the profile on the originator. I am hesitant to post drug dosage or administration on any website due to legality/hesitancy. That was my intention.

renerian

Who are you asking? The OP's profile states she is.

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.

IVRUS, BSN, RN

Specializes in Vascular Access. Has 32 years experience.

Because these medications are given centrally where blood flow in the subclavian is approx 2L/min, these medications are rapidly diluted and therefore it is not necessary to dilute them further.

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