Mom23

Thanks! I'll pass it on.

This toddler came into the ER at approx. 1630, with vomiting since o600. Was lethargic and dehydrated. How is triaging handled in the ER? Why would they withold IV fluids for so long? Heplock started at 1830 but no fluids? Doesn't this sound negligent from the beginning with no complete assessment? The questions about the phenergan are just one issue in this case.

I WAS an RN in NICU (taking some time off to raise a family). I am unfamiliar with Phenergan. Obviously we did not use it in my area. I have a very tragic situation....A very good friend of mine brought her toddler to our local ER for vomitting and dehydration from viral Gastroenteritis. The child was under two and small for her age (9.5 kg). After waiting more than two hours with symptoms worsening (vomitting blood), her child was given a Phenergan suppository 12.5. No IV was given. No exam was performed. My friend think it was actually the 50 dose based on the color of the packaging and size of the supp. Later, when her daughter coded, the child was given Epinephrine (excessive dose). I have been able to find out that Epi contraindicates with the Phenergan (Lippincott). Her child died. She had me look over the records and the Phenergan stuck out. What has been your experience with Phenergan supp in pediatric patients? Thanks for your input.....Mom23