Lidocaine for v-tach thru IV line?

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Specializes in CICU-Cardiology/Open Heart.

New nurse question:

If the doc orders IV lidocaine stat and the patient already has an open PIV running d5w how would you give the lidocaine?

Tx everyone who answers! Trying to settle an argument :)

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Specializes in ER.

Flush before and after with NS and give it.

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Specializes in ICU, EMS.

Just push it. Lidocaine is compatible with D5. Just flush after the push to get it in unless the IV is running wide open.

CC

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Uhhhhh? What is there to debate here?

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Specializes in ICU, ER.

I don't understand the issue?

If you have an order to give a drug IV STAT and you have a PIV, where else would you put it?

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Specializes in Public Health, TB.

And why wouldn't you just change the IV to NS?

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It is compatible with D5W and I believe when it is mixed/diluted it is done in D5W (over NS.)

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Specializes in CVICU.

In that case it should be given sublingually

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Specializes in ER/ICU/Flight.
In that case it should be given sublingually

or intrathecally....depending on the doctor's preference....but I'd definitely ask!!

Not to rag on the OP, but I would like to know what the "bet" is they're trying to settle.

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Specializes in ICU, ER, EP,.

push it into the NS tubing port while it is infusing. IV lido is mixed in D5.

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Specializes in ICU-my whole life!!.
or intrathecally....depending on the doctor's preference....but I'd definitely ask!!

Not to rag on the OP, but I would like to know what the "bet" is they're trying to settle.

Maybe the bet is a trip to NTI???:D

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