Zofran

If you have a patient with a gsw to abdomen which would you prefer zofran or phenergan for nausea/vomiting and why?

Would prefer Zofran over Phenergan b/c Phenergan has to be diluted and given very slowly or you risk phlebitis. In the situation you describe, time and not blowing your IV site would be of the essence so Zofran would be my first choice and then Phenergan if Zofran was not effective.

I was very familiar with zofran until my partner (a medic of 25 years) said zofran was an NSAID and had me questioning myself

No, Zofran is not an NSAID. However, if the senior paramedic says otherwise, there would not be a reason to start an argument on the back of an ambulance--

I would be more concerned about giving phenegran--especially IV.

Bottom line, unfortunately, you have to take direction from a team leader, who misspoke.

Unfortunately

Thank you all!

I was very familiar with zofran until my partner (a medic of 25 years) said zofran was an NSAID and had me questioning myself

Just out of curiosity, do you ever give Phenergan in an ambulance. I have basically only seen Zofran given by EMS. Do have the option to given Phenergan?

Just out of curiosity, do you ever give Phenergan in an ambulance. I have basically only seen Zofran given by EMS. Do have the option to given Phenergan?

Yeah I gave it to a patient last night. Some services carry both just incase you have a patient who is allergic to zofran

Yeah I gave it to a patient last night. Some services carry both just incase you have a patient who is allergic to zofran

How do you give it? again, just curious

How do you give it? again, just curious

They prefer zofran because it's less invasive and usually only want you to give phenergan as a last resort but when you do give it you can give 12.5 mg IM or 12.5 mg IV diluted with 10cc of normal saline

They prefer zofran because it's less invasive and usually only want you to give phenergan as a last resort but when you do give it you can give 12.5 mg IM or 12.5 mg IV diluted with 10cc of normal saline

The drug guides state up to 25 mg can be given by IV or IM. At least one of the guides states that you should avoid giving it faster than 25 mg/min... Also, doses above 25 mg are indicated as pre-op sedation doses. Of the drugs carried on the typical ALS ambulance, it's only IV incompatible with Lasix so don't try to give them at the same time.

The drug guides state up to 25 mg can be given by IV or IM. At least one of the guides states that you should avoid giving it faster than 25 mg/min... Also, doses above 25 mg are indicated as pre-op sedation doses. Of the drugs carried on the typical ALS ambulance, it's only IV incompatible with Lasix so don't try to give them at the same time.

Will remember that :)