Reglan IV

angelique777 · Sep 25, 2005

Okay, I am currently in a European Country. I have heard they do things very different here. For instance, liquid aspirin, liquid valium, mainlined reglan, etc....all done with adult patients. Thoughts on these practices? I have also noted no gloves are used when starting IV's or drawing blood. I found this curious.

what country are you talking about and where specifically are you

gwrn99 · Sep 25, 2005

what country are you talking about and where specifically are you

I am in Portugal. I witnessed an interesting thing with the IV reglan. This particular drug had never helped with nausea in the past with my friend. She always had to have zofran. The staff mainlined an unknown amount of reglan and she had good results. I am guessing only 10 mg. Maybe because it was given with valium 10 mg liquid form :) . I have also heard many others state informed consent here is not what it is in the states....the nurses just come in and do whatever the docs order and the patient doesn't question it (or know to). It has been a fascinating look into practices outside of the U.S.

Altra, BSN, RN · Sep 25, 2005

I give Reglan 10mg IV regularly ... it's a typical treatment for nausea/vomiting in my ER. We also use Zofran.

gwrn99 · Sep 25, 2005

I give Reglan 10mg IV regularly ... it's a typical treatment for nausea/vomiting in my ER. We also use Zofran.

mainlined? without a heplock?

meownsmile, BSN, RN · Sep 25, 2005

Although i would think any ED or unit here in the States would have a lock inserted prior to giving anything into a vein, i dont know that it couldnt be given that way.

We use Reglan, Zofran, Anzemet, Tigan and Phenergan regularly for nausea in my hospital.

gwrn99 · Sep 25, 2005

Although i would think any ED or unit here in the States would have a lock inserted prior to giving anything into a vein, i dont know that it couldnt be given that way.
We use Reglan, Zofran, Anzemet, Tigan and Phenergan regularly for nausea in my hospital.

Yes, I have given all of those myself in my unit. It just seemed unusual the way it was given and the effect it had being given that way. I guess I was just curious if the result had anything to do with the way it was given.....Thanks to all for the input. How about the crushed asa mixed with water, as well as the liquid valium...any thoughts? Interesting how things are given different in different places...

meownsmile, BSN, RN · Sep 25, 2005

Yes, I have given all of those myself in my unit. It just seemed unusual the way it was given and the effect it had being given that way. I guess I was just curious if the result had anything to do with the way it was given.....Thanks to all for the input. How about the crushed asa mixed with water, as well as the liquid valium...any thoughts? Interesting how things are given different in different places...

I guess it would be absorbed quicker if it was in liquid/crushed and mixed with water. Dont know if it would make a difference with effectiveness though. I dont think we do it on a regular basis here, except for patients that are unable to swallow pills.

Dont ya just hate when you reread your posts and find spelling errors!!!! :chair:

Meerkat · Sep 25, 2005

IV Reglan...oh my gosh...that stuff made me feel like I was crawling out of my skin! About 15 min after I took it I was seized by an uncontrollable compulsion to run...I felt like I was going crazy!

chip193 · Sep 26, 2005

IV Reglan...oh my gosh...that stuff made me feel like I was crawling out of my skin! About 15 min after I took it I was seized by an uncontrollable compulsion to run...I felt like I was going crazy!

Everyone loves a good dystonic reaction from time to time!

gwrn99 · Sep 26, 2005

Everyone loves a good dystonic reaction from time to time!

I had the same reaction from compazine.....it has to be the worse feeling I have ever had........

Altra, BSN, RN · Sep 26, 2005

mainlined? without a heplock?

Forgive my ignorance, but I think I'm not understanding what you mean by "mainlined."

An ER pt. who presents with n/v nearly always has an IV started (a lock), labs drawn, and then a bag of NSS hung to rehydrate them. Reglan, Zofran, Anzemet, Compazine or any other med can be administered IV push through this line.

If the pt. is going to have a reaction, then certainly it will have a faster onset w/an IV med than w/a med given by mouth.

You also mentioned IV Valium ... I've seen Ativan used more instead, except pre-op. Some days in the ER, I'm giving Ativan constantly ... :rolleyes: :chuckle