Protonix IVP

Published

Just looking for some rationale as to why Protonix is always pushed over 2 minutes. What can happen if you push it too fast?

Up Vote Up Vote ×
Specializes in Vascular Access.

All medication that I know of, except Adenosine, must be given over certain time frames to prevent Speed Shock. If you aren't sure what the time frame is, call your infusion pharmacist, or check your drug book.

Up Vote Up Vote ×

Yeah, as a general rule I give IVP over 2 minutes. I am just always someone who has to know why, like lasix pushed fast can cause deafness or pain/benzos can cause resp depression... i just remember an ICU nurse telling me the rationale back when I was a student. I was talking to a nurse on my floor about it the other day but can't seem to remember why the 2 min rule for Protonix.

Up Vote Up Vote ×
Specializes in Critical Care.

In addition to above mentioned reasons, pushing slowly gives you a chance to monitor for any adverse reaction. Many drugs are venoirritant.

You'll find some patients that want their dilaudid "pushed fast" with a benadryl chaser. Otherwise it "didn't work."

Up Vote Up Vote ×
Specializes in Critical Care; Cardiac; Professional Development.

I was taught to push it slow because it can cause permanent tinnitus when pushed fast. However, I was trying to find a source for you and a prelim (albeit very brief) search on my part didn't yield anything I could quote to you.

Up Vote Up Vote ×
Yeah, as a general rule I give IVP over 2 minutes. I am just always someone who has to know why, like lasix pushed fast can cause deafness or pain/benzos can cause resp depression... i just remember an ICU nurse telling me the rationale back when I was a student. I was talking to a nurse on my floor about it the other day but can't seem to remember why the 2 min rule for Protonix.

With the lasix, -mycins, and other ototoxics, a sudden blast is injurious to the nerves. Giving it over time delivers a more dilute hit. Likewise benzos-- a push dose shuts things down pronto, but a more dilute dose over time is easier on them.

I can't find anything online for the rationale for giving Protonix gradually. There are two protocols, one for 15-minute administration in a larger volume, and one for 2-minute, though.

Up Vote Up Vote ×
+ Join the Discussion