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Mon, 11 Nov 2002 13:01:35 -0800

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Dr. K,
As a patient, I found compazine to be my drug of choice for  an =
anti-emetic. Unfortunately, this drug is not available in the IV because =
of the manufacturer.
I was given Phenergan once, in IM and it worked well. I also see this =
first hand when it is given alone for nausea.
Zofran is another wonderful option. However, costly.
In respect to the habits of the practitioners that continue to order =
Demerol and Phenergan I do I agree, poor.
I question it relentlessly, and it usually gets me the option to manage =
with MS or Dilaudid and no anti-emetic approximately 50% of the time.
What suggestions can you offer to win the other 50%?
Laurie Grimes RN
Washington
  ----- Original Message -----=20
  From: KMATTOX@aol.com=20
  To: trauma-list@trauma.org=20
  Sent: Monday, November 11, 2002 11:09 AM
  Subject: Re: anti-emesis with morphine

  It has never been intended to mix phenothiazides with opiates.  Their =
time of action is different and any nurse or doctor that mixes =
"phenergan" and "morphine" just does not understand their pharmacology.  =
 Phenergan is a terrible anti-emetic, as a matter of fact, it just does =
not work, at least from my own personal experience, as a patient.   =
There are a list of reasons as long as ones arm why Phenergan and =
Morphine should not be given at the same time.   In my own opinion, for =
this hospital, such ordering habits are a sign of a poor doctor and an =
unquestioning nurse.

  k=20

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<BODY bgColor=3D#ffffff>
<DIV><STRONG>Dr. K,</STRONG></DIV>
<DIV><STRONG>As a patient, I found compazine to be my drug of choice =
for&nbsp;=20
an anti-emetic. Unfortunately, this drug is not available in the IV =
because of=20
the manufacturer.</STRONG></DIV>
<DIV><STRONG>I was given Phenergan once, in IM and it worked well. I =
also see=20
this first hand when it is given alone for nausea.</STRONG></DIV>
<DIV><STRONG>Zofran is another wonderful option. However, =
costly.</STRONG></DIV>
<DIV><STRONG>In respect to the habits of the practitioners that continue =
to=20
order Demerol and Phenergan I do I agree, poor.</STRONG></DIV>
<DIV><STRONG>I question it relentlessly, and it usually gets me the =
option to=20
manage with MS or Dilaudid and no anti-emetic approximately 50% of the=20
time.</STRONG></DIV>
<DIV><STRONG>What suggestions can you offer to win the other =
50%?</STRONG></DIV>
<DIV><STRONG>Laurie Grimes RN</STRONG></DIV>
<DIV><STRONG>Washington</STRONG></DIV>
<BLOCKQUOTE=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV=20
  style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
  <A title=3DKMATTOX@aol.com =
href=3D"mailto:KMATTOX@aol.com">KMATTOX@aol.com</A>=20
  </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
title=3Dtrauma-list@trauma.org=20
  href=3D"mailto:trauma-list@trauma.org">trauma-list@trauma.org</A> =
</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Monday, November 11, 2002 =
11:09=20
  AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: anti-emesis with=20
  morphine</DIV>
  <DIV><BR></DIV><FONT face=3Darial,helvetica><FONT lang=3D0 =
face=3DArial size=3D2=20
  FAMILY=3D"SANSSERIF">It has never been intended to mix phenothiazides =
with=20
  opiates.&nbsp; Their time of action is different and any nurse or =
doctor that=20
  mixes "phenergan" and "morphine" just does not understand their=20
  pharmacology.&nbsp;&nbsp; Phenergan is a terrible anti-emetic, as a =
matter of=20
  fact, it just does not work, at least from my own personal experience, =
as a=20
  patient.&nbsp;&nbsp; There are a list of reasons as long as ones arm =
why=20
  Phenergan and Morphine should not be given at the same =
time.&nbsp;&nbsp; In my=20
  own opinion, for this hospital, such ordering habits are a sign of a =
poor=20
  doctor and an unquestioning nurse.<BR><BR>k</FONT>=20
</FONT></BLOCKQUOTE></BODY></HTML>

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anti-emesis with morphine