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Do you mix your Morphine and Zofran?

Discussion in 'ALS Discussion' started by Hockey, Oct 2, 2010.

  1. Hockey

    Hockey Quackers

    Location:
    MI
    Saw this in the ER the other night. She mixed both in the syringe. I usually prefer to do the Zofran first, prep the Morphine, then give it.

    Anyone else do this practice? Never really seen it before nor would I think would be proper
  2. TransportJockey

    TransportJockey Well-Known Member

    Location:
    TX/NM
    Seen it a lot when I was working in the hospital as a tech. Never done it myself though
  3. Pittsburgh77

    Pittsburgh77 New Member

    Location:
    Pittsburgh,PA
    There's a thread about this already. It should be like 2 spots down from this one.
  4. TransportJockey

    TransportJockey Well-Known Member

    Location:
    TX/NM
    That one is phenergan and MS.
  5. Smash

    Smash Member

    Location:
    Purgatory
    What is the rationale for mixing them? I assume that the ondansetron is being given for patients who already have nausea or who are known to develop nausea secondary to morphine administration?

    The actual incidence of nausea post morphine is rather low (<5% I think, but I can't put my fingers on the figures right now) so I've never understood the desire to give everyone more drugs that they probably won't need.
  6. jjesusfreak01

    jjesusfreak01 New Member

    Location:
    St. Georges, Grenada
    EMS Training:
    EMT-Intermediate
    One common reason to mix IV meds is that doing so will dilute each medication, which could help if one of the meds had a necrotic effect in high concentrations or could cause problems if pushed too quickly. Of course, doing this would require that you know of any chemical interactions the medications might have as well as the typical side effects of each med.
  7. LonghornMedic

    LonghornMedic New Member

    Location:
    Central Texas
    Mix it? No. But I also don't give everyone Zofran either. If patients have had MS before and don't get nauseated, then I wait and see if the need arises.
  8. Smash

    Smash Member

    Location:
    Purgatory
    What's wrong with 0.9%NaCl to dilute?

    Sounds sensible :)
  9. gicts

    gicts New Member

    Location:
    insanity

    Especially if you give it appropriately and not slam it like some ER's ^_^
  10. medicRob

    medicRob New Member

    Location:
    Nashville, TN
    Happiness is a warm gun, bang--bang, shoot--shoot.

    Sorry, couldn't resist. Personally, I don't mix Zofran and Morphine. I don't even give Zofran to all patients that I administer morphine on, it all depends on their tolerance to opioid analgesics and whether or not they have experienced nausea in the past.
  11. jjesusfreak01

    jjesusfreak01 New Member

    Location:
    St. Georges, Grenada
    EMS Training:
    EMT-Intermediate
    Nothing, but if you are lazy or want to get the meds in quick it means you don't need to draw and dilute meds twice. I can imagine that there are probably a lot of places where this isn't allowed for obvious reasons.
  12. Hellsbells

    Hellsbells New Member

    Location:
    Alberta, Canada
    EMS Training:
    EMT-Paramedic
    Sounds like sloppy practice to me.
  13. Millerblade

    Millerblade New Member

    Location:
    near Dallas Texas
    EMS Training:
    EMT-Paramedic
    to Mix or not to Mix

    I have seen people do a lot of things over the years. I have seen mixing this with that, or dilute this or that. First, I don't do that, ever.

    I have found out that if you give your narcotics, s l o w l y, and don't get in a rush, you might find that they won't get sick at all. Back in the day, Promethizine was given, and by the time the medic finished giving the medications, they were trying to wake them up to ask them if their pain went away.......hahaha, couldn't resist.....I like Longhorn Medic's answer, and stick with what you know.

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