Med compatibility

I was looking up nexium compatibilities all week because our hospital was short on Protonix and so we were giving a lot of it. I usually never see it. So anyways, it's apparently fine to run it with some things, but I wasn't able to get a clear answer for phenergan. It just says unknown. Could someone who deals with this drug more often shed some light?

[JustBeachyNurse, RN]

Did you consult with the pharmacist?

Oops auto correct screwed the title up....yes I talked to pharmacy and they didn't have a clear answer. Just that it was unknown so I guess that's a no. I always clamp and flush just in case if I don't know.

[calivianya, BSN, RN]

If something's unknown, I just treat it like it's incompatible. Sometimes the patients can tell you what's compatible, especially if they want their phenergan, dilaudid, and benadryl all in one syringe.

Haha if they ask me for that they are getting the exact opposite. That's ridiculous. Here lately I feel as if I went to school to give dilaudid and sprites out lol

[NRSKarenRN, BSN, RN]

Moved to Nursing and Patient Medications forum.

Many facilities have online drug resources that list compatibilities; some drug handbooks have IV/syringe comatabilites inside book covers if pharmacist unsure or not available too.

Drug shortages getting ridiculous.

I had an IV compatibility question the other day and there was no data on it either way. I was told by the pharmacist to therefore treat it as incompatible.

[MunoRN, RN]

Our pharmacists treat "no data" as being compatible. The combinations of medications that have the potential to be incompatible is predictable, most commonly by pH differences. So combinations where there is no potential for incompatibility are not tested, although untested incompatibilities can still be reported, and "no data" means none have been reported.

Haha if they ask me for that they are getting the exact opposite. That's ridiculous. Here lately I feel as if I went to school to give dilaudid and sprites out lol

You too??? I went to school to give Morphine and Sprite- "With ice, lots of ice."

Thank God I was a waitress in high school and college (1st degree) in the 80's and 90's!!

I usually handle it pretty well, but here lately it seems like that's all I do. I was in the middle of a rapid with a patient yelling that she hadn't gotten her pain meds

Our pharmacists treat "no data" as being compatible. The combinations of medications that have the potential to be incompatible is predictable, most commonly by pH differences. So combinations where there is no potential for incompatibility are not tested, although untested incompatibilities can still be reported, and "no data" means none have been reported.

Very good to know. Thank you.