Re: Rectal Medication Administration

[Guest guest]

,

I'm afraid I have to agree with Jana. I understand a fluid bolus after

pushing IV meds, but in trying to visualize the effect of a rectal air

bolus, the first thing I thought of was bubbles blowing through your

previously injected Phenergan. The second thing I thought of... well do you

really want to add more " gas " in this area? " S " . Sorry, just had to say

that. But you did raise my curiosity.-----

Ibbotson, RN/EMT-I

Original Message -----

To: <egroups>

Sent: Thursday, November 18, 1999 20:01

Subject: [texasems-L] Re: Rectal Medication Administration

I'm sorry, but I don't understand the AIR bolus. I checked my textbook

and several others, spoke with my instructors and several other medics and

no one else understands either. In fact, I got laughed at and comments were

made about rude noises, etc. I don't intend to be mean or degrading, will

you explain what this does?

Thanks!

Jana

FW,TX

[texasems-L] Re: Rectal Medication Administration

> You can also give Phenergan (promethazine) per rectum...don't know why you

> would want to in the field, but you can.

>

> Don't forget to follow the medication with a 10-20 cc AIR bolus (fill the

> syringe with air, attach a 18g IV catheter [without the needle], lube the

> catheter with KY (please!), and force it [uh, the air] into the rectum).

If

> you use a saline push, BAD things happen (so you need to go change clothes

> why?). I would assume a 5-10 cc air bolus on infants and small children,

> but this is just an assumption, and you all know what that means (any

> pediatricians out there with an answer?).

>

> Good luck, and as always, BE SAFE.

>

>

>

> My opinions are just that, my opinions. They are much like my advice,

> free and worth exactly what you pay for them.

>

> Webb

> dfluffy01@...

>

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