digoxin iv push and hydralazine IM

[rxjc]

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can you give digoxin as iv push? or is it better to be ivpb

also can you give hydralazine IM? i read somewhere there's a black box warning for it. It may lead to skin necrosis, what are your thoughts?

 

[rph3664]

I've always seen digoxin as IVP (it's going to be 1ml or less) but have never seen hydralazine IM. Are you sure it isn't hydroxyzine, which is always given IM?

 

[BidingMyTime]

can you give digoxin as iv push? or is it better to be ivpb

also can you give hydralazine IM? i read somewhere there's a black box warning for it. It may lead to skin necrosis, what are your thoughts?

I have never seen digoxin given as an IVPB, always as IVP. I really can't imagine a situation where an IVPB would be needed.

I've never seen hydralazine given IM, always IV....I've been out of hospital a few years, but I don't remember there being a black box warning about it, this might be something relatively new. I also can't imagine a situation that would warrant giving it IM. If a patient were that critically ill, and IV access wasn't possible, then a chest line would be put in.

Hydroxyzine should never be given IV, always IM, because of the potential for hemolysis.