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Phenobarbital

Medications   (260 Views | 1 Replies)
by mwattum mwattum (New) New Nurse

mwattum specializes in Critical Care.

48 Profile Views; 1 Post

First post, yay!

I work for a medicine critical care unit for a large teaching hospital, and I see a fair share of patients going through complicated alcohol withdrawal. We use the standard CIWA protocol and administer PRN Lorazepam/Diazepam based on the CIWA score, and sometimes the providers will order a scheduled fixed dose, most frequently q6hrs, on top of the PRN's. 
I have been reading a lot of benefits of Phenobarbital lately. And I wanted to hear other RN's experience with this medication. And I also was wondering what protocol do you use to administer it? From what I have read it seems like its often ordered PRN q30min. Do you administer it based on CIWA? RASS? Do you often do a loading dose? Any experience administering it PO for these patients. It this medications usually used in patients have symptoms refractory to Diazepam/Lorazepam, or do you see a benefit to administering this medications early on in the withdrawal process?
Also, do you see this medication administered outside of the ICU?

Thank you!

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12 Followers; 3,928 Posts; 29,849 Profile Views

Hello -

Here is another thread that might have some pertinent information.

 

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