When administered intravenously, Phenergan Injection should be given in a concentration no greater than 25 mg per mL and at a rate not to exceed 25 mg per minute. The true extent of this problem may be unknown. Revise orders. Also you run the risk of mixing it with other meds, sending the pt to the floor with it still infusing etc.
Promethazine is a first-generation antihistamine. Personally I wouldn't dors it in mL bag that's already infusing because does phenergan need to be diluted you end up having to hang other meds as a piggyback does phenergan need to be diluted that med, there are quite a few meds that aren't Y-site compatible and that could cause problems. Sign In Register Now! Search Search. Severe tissue damage can occur regardless of the route of parenteral administration, although intravenous and inadvertent intra-arterial or subcutaneous administration results in more significant complications, including: burning, erythema, pain, swelling, severe spasm of vessels, thrombophlebitis, venous thrombosis, phlebitis, nerve damage, paralysis, abscess, tissue necrosis, and gangrene.
Dilute the drug.
The drug is also a known vesicant which is highly caustic to the intima of blood vessels and surrounding tissue. Nursing dilution. Jul 28, Poll the nursing staff. What is the highest mg of promethazine? Learn more here topic is now closed to further replies.
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Her thumb, index finger, and top of her middle finger had to be amputated. What is not understood, however, ho that once patency has been confirmed, experts agree Infusion Nursing Standards of Practice, Standard The Docs I work with would have a field day if you asked them to dofs it in a liter of fluid OR click at you dumbfounded, depending on the Doc. Look it up if you haven't already. And what if you use a needle that is too short? I've found however that people still say it burns. I have never diluted to give it IM. Can I take Phenergan every night?
Antihistamines are contraindicated for use in the treatment of lower respiratory tract symptoms including asthma. For those who dilute medications, the survey asked respondents whether they used check this out standard volume of diluent every time for each specific medication. Will the dose still be effective? Specializes in ER. Personally, I would be prone to using Z-track and pressure; or even distraction as I do not believe its caustic effects are such as learn more here it administered IV.
Remove air bubbles.
I'd hate to stick a patient that many times. Antihistamines are contraindicated for use in the treatment of lower respiratory tract symptoms including asthma. I always dilute it with NS to decrease the burning sensation.
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Because the corticosteroid could not be discontinued, promethazinea phenothiazine derivative, was used to treat the psychotic symptoms. Tachycardia, bradycardia, faintness, click, and increases and decreases in blood pressure have been reported following the use of promethazine hydrochloride promethazine hydrochloride injection.
Use of syringes with rigid plungers or small bore needles might obscure typical arterial backflow if this is relied upon alone. Is IV Phenergan safe? Educate patients.