Ondansetron Vs Phenergan Nursing
Seventy-six Thai children under the age of 15 with AGE were randomized to receive either ondansetron or domperidone. Compare Promethazine vs Zofran head-to-head with other drugs for uses, ratings, cost, side effects, interactions and more. Phenergan. Introduction. −36 mm, respectively, using a 100-mm VAS. Extravasation. Habib AS(1), Reuveni J, Taguchi A, White WD, Gan TJ Promethazine (Phenergan) is similar in efficacy to ondansetron (Zofran), and oral methylprednisolone (Medrol) is more effective than promethazine in the treatment of patients with hyperemesis. Sometimes it works others it doesnt.Phenergan on the other hand despi. Formulated with phenol, promethazine has a pH between 4 and 5.5 Nausea and Vomiting Adult: PO 8 mg 30 min before chemotherapy, then q8h times 2 more doses Adult/ Child: IV 6 mo–18 y, 0.15 mg/kg or 32 mg infused over 15 min beginning 30 min before start of chemotherapy, followed by 0.15 mg/kg 4 and 8 h after first dose of ondansetron, may also give 8 mg bolus, then 1 mg/h by continuous infusion (max: 32 mg/d), or 32 mg as single dose. Drug Name Generic Name : promethazine hydrochloride Brand Name: Phenadoz, Phenergan Classification: Phenothiazine, Dopaminergic blocking agent, Antihistamine, Antiemetic, Anti-motion sickness drug, Sedative or hypnotic Pregnancy Category C Dosage & Route Available forms : Tablets—12.5, 25, 50 mg; syrup—6.25, 25 mg/5 mL; suppositories—12.5, 25, 50 mg; injection—25, 50 mg/mL ADULTS. It just seems to work better overall. 8 Ondansetron and promethazine were found to be comparable, −34 mm vs. Drug-induced acute dystonic reactions are a common presentation to the emergency department. Tottes McGotes was ecstatic at her findings. Promethazine rated 7.9/10 vs Zofran rated 8.2/10 in overall patient satisfaction Zofran is a brand (trade) ondansetron vs phenergan nursing name for ondansetron. 1,3. While it's cheap and available in different forms to make it easier to take, it can make you feel very sleepy. Phenergan makes me very tired and out of it, but from what I read Zofran is mostly just for cancer/chemo patients NG tube was placed, etc. Now for the question. On admission to the PACU, 36% of patients in both groups had a first recorded Ramsay score >2. IV administration may cause damage to tissue, hypertension, impaired liver function monitor for neuroleptic malignant syndrome, confusion, sedation. DO NOT use Zofran. In the United States, chief complaints related to nausea or vomiting account for approximately 4.8 million ED visits each year. −36 mm, respectively, using a 100-mm VAS. Phenergan and Compazine are in the same class of drugs, so you wouldn't want to give both as it can increase the odds of the patient having EPS. It's available in different forms that you don't have to swallow in case you can't keep anything down.
Phenergan nursing vs ondansetron
But like Ridryder, I've seen that it doesn't always work if the patient is already hurling. It's most often used to treat nausea and vomiting that may come as a side effect of chemotherapy for cancer. A comparison of ondansetron with promethazine for treating postoperative nausea and vomiting in patients who received prophylaxis with ondansetron: a retrospective database analysis. Then my OB gave me Diclegis which I've been taking for a few days. Zofran (ondansetron) works well to prevent nausea and vomiting. You know, ondansetron vs phenergan nursing
older patients, friable veins, don't want IMs, that sort of thing. Potentially Harmful Drugs in the Elderly: Beers List and More (B=Beers list drug; C=Canadian list drug) Drug Concern Alternative Treatment Analgesics Ketorolac (Toradol) (B); long-term use (C) GI bleeding.5 Meperidinea (Demerol) (B); long-term use (C) Not effective at commonly used oral doses; confusion, falls, factures, dependency, withdrawal5,15. But like Ridryder, I've seen that it doesn't always work if the patient is already hurling. Zophran is a selective serotonin type 3 receptor antagonist (meaning it reduces the activation of the serotonin type 3 but not other serotonin receptors).. there are 2 nausea medicines that are considered safe for pregnancy, and zofran sounds like the better choice for you (since phenergan makes you sleepy, and that's the other option, i think it would freak you out!). 5 Commonly used antiemetics, including ondansetron, promethazine, and metoclopramide, have proven efficacious in the treatment of specific patient populations (eg, ondansetron for chemotherapy patients) Background Ondansetron is frequently used to treat nausea and vomiting during pregnancy, but the safety of this drug for the fetus has not been well studied. Compare head-to-head ratings, side effects, warnings, dosages, interactions and patient reviews Moreover, an exploratory analysis showed an uptick in ear malformations among ondansetron users (2.4 vs 3.8 per 10,000 births, adjusted RR 1.64, 95% CI 1.16-2.33) What are the Nursing Considerations of Promethazine (Promethacon) Nursing Pharmacology Considerations? Some will respond to Zofran, some won't. Onifer, MD, USN CAPT Frank K. Recently, ondansetron was compared to promethazine in the ED. Zofran costs more while Phenergan is cheap The ondansetron-treated group showed a greater need for re-administration of the medication (50.6% vs. According to the Intravenous Nursing 2011 Standards of Care, when an IV solution or medication that can cause localized ischemia (decreased blood flow and oxygen delivery to a specific area) or localized necrosis (the absence of blood flow and oxygen that results in skin. It's available in different forms that you don't have to swallow in case you can't keep anything down. Promethazine sometimes produces marked sedation and dizziness. The neurotransmitter, serotonin, appears to play a role in ondansetron's effect.. In addition. Ondansetron orally disintegrating tablets are a great example ($26/4 mg) compared with regular release tablets ($0.20/4 mg) (Thompson Healthcare, 2009). Zofran is the 5-HT3-Receptor Antagonist; on the other hand, Phenergan is a first-generation antihistamine. Zofran (ondansetron) and Compazine (prochlorperazine) are prescribed for the treatment of nausea and vomiting Zofran is often used to prevent and treat nausea and vomiting during chemotherapy and after surgery Compazine is also used to treat psychotic disorders such as schizophrenia and anxiety The brand name Compazine is discontinued in the U.S. The List of Oral Dosage Forms That Should Not Be Crushed, commonly referred to as the "Do Not Crush" list, contains medications that should not be crushed because of their special pharmaceutical formulations or characteristics, such as oral dosage forms that are sustained-release in nature..Supervise ambulation. Acute gastroenteritis is a common illness of childhood that accounts for more than 1.5 million outpatient visits in the United States annually and 13% of hospitalizations for children younger than 5 years. The ondansetron-treated group showed a greater need for re-administration of the medication (50.6% vs. The surgeon ordered Zofran, Phenergan, and Reglan Q4 hours, SCHEDULED Know the Difference: Infiltration vs. Zofran seems to work pretty well for most of my patients, but for the really tough N/V patients, the docs on my floor seem to like Reglan 4x a day scheduled, with Zofran PRN It seems Zofran is the standard antiemetic choice these days for multiple implications (ie post op nausea, opioid administration etc) and while it seems to work amazingly for some people it seems to be a hit or miss for others. Ondansetron treats and prevents nausea and vomiting by an unknown mechanism, possibly by a direct effect on the CTZ (the area of the brain associated with vomiting), the vagus nerve or both.