Phenergan....good or bad?

[medic001918]

Puking though inconvenient can actually be a good thing though and you need to watch when giving a drug to retard it as it is the body trying to rid itself of something.

When would vomiting be more appropriate than an NG/OG tube? Actually, we've gone away from the idea of having out patients vomit, thus we no longer carry ipecac on the trucks. Vomiting is actually bad for the body and poses quite a few risks. The acids in your stomach cause burns on the way back up. Aspiration is always a concern with a vomiting patient.

This doesn't mean that if you vomit, you're going to die. But vomiting is rarely, if ever a favorable means of "treatment" for a condition.

Shane

NREMT-P

[mattlott]

please review the fda warning on Phenergan and pediatrics. Many deaths. Came out last year.

[ladyemt51_2000]

From a patient's point of veiw, I'll take Compazine any day. The Phenergan burnt like fire going in and I had one soreass lump in my backside for 2 months after I was treated for a migraine. Never again. Give me a bio hazard bag and I'll take care of it from there.

[beccabotkin2002]

promethazine.... I love it! I don't know what we would do without it, it works great for anti-nausea, and makes the patients nice and sleepy for a quiet ride to the hospital.... promethazine is one of our most used drugs. We're addicted to giving it to our patients! LOL... Seriously... we've never had any problems, or adverse reactions to it, we don't have to call for medical control for it... we can give 25 per our protocols...

[Novisen]

Serotonin, 5HT3, Muscarin, Dopamin. You never know witch receptor to block. Metoklopramid doesn´t work. Zofran is expensive and only goes on 5HT3 receptors. The best antiemeticum in my opinion is Dixyrazine, Droperidol or Promethazine. If the treatment has no succsess you can add Zofran and Glycopyrrolate (or Betametazon or Dexametazon).

http://www.ncbi.nlm.nih.gov/sites/entrez?D...Pubmed_RVDocSum

Ketobemidon is an better alternative than Morphin when it comes to nausua and womiting after administration (in my opinion).

[spenac]

nausua and womiting after administration (in my opinion).

"womiting" whats that? Guess been out of school to long for these big city terms.

[Novisen]

Sorry! Vomiting!

[Dustdevil]

"womiting" whats that? Guess been out of school to long for these big city terms.

Hehe... looks like Novisen has been nipping a bit of wodka!

[tugboat438]

Here in PA they took away Phenergan and replaced with Zofran

[Novisen]

Nausea and womiting "hick" :?