So my question is... How many of you mix xylocaine with rocephin instead of sterile water?
My reasoning is... I have always been taught to do so. I worked in Peds for 4 years and all the peds nurses that I worked with and I always used xylocaine with our rocephins. Well now I work somewhere else and people keep using sterile water so when I asked why they said that they cant mix the xylocaine with rocephin on infants/toddlers... Has something changed that I am not aware of? One of the nurses even gave a gram of rocephin to an adult and used sterile water instead...
Ouch. Guess that PNP has never received Rocephin IM without lido.
If I had a choice between lido for my IV start and lido for my Rocephin injection, I would go for the lido with the Rocephin.
The mix of Rocephin and lido has been done for at least 20 years around the world....If there was a problem with it, it would have been nixed many years ago. Even home Rocephin administration kits come with Lidocaine as a diluent as seen here.
And check out this article from the Archives of Pediatrics and Adolescent Medicine as far back as 1994. Definitely helps.
And here, here, here and here as well. Need more? Lidocaine is mixed with propofol and with penicillin G benzathine to help reduce the pain as well.
Unless the docs can give me documented evidence of problems, or unless the patient is a neonate or allergic, they are getting lido with the Rocephin if I am giving it.
Please be brave enough to ask the provider to explain why they choose not to use it, and it would be even better if you could post their documentation. I think we would all benefit. If they cannot tell you why, maybe your questions will stimulate a journal search for them. Patients deserve pain relief. Just ask JCAHO.
I've always given it with lido. Of course, it generally has to be ordered that way because lido is a medication. But, what doc wouldn't give the go-ahead for that?
I've always given it with lido. Of course, it generally has to be ordered that way because lido is a medication. But, what doc wouldn't give the go-ahead for that?
really?
ours automatically come from pharmacy w/the lido...
As I remeber it, the insert gave the mixing order as with lido or sterile water. With that said, I'm curious as well as to the MD specific order to use lidocaine.
I don't know if it is the MD or just the nurse preference... Thank you all for your responses. At least now I know nothing has changed that I didnt know about (re: lido and rocephin at least) ! Much appreciation!
Elvish, BSN, DNP, RN, NP
4 Articles; 5,259 Posts
At our place (rural community health center) it was just PNP preference that we not give lido with rocephin.
We gave it w/ lido everybody 5ish and up.