Protonix IVP

Just looking for some rationale as to why Protonix is always pushed over 2 minutes. What can happen if you push it too fast?
All medication that I know of, except Adenosine, must be given over certain time frames to prevent Speed Shock. If you aren't sure what the time frame is, call your infusion pharmacist, or check your drug book.

Yeah, as a general rule I give IVP over 2 minutes. I am just always someone who has to know why, like lasix pushed fast can cause deafness or pain/benzos can cause resp depression... i just remember an ICU nurse telling me the rationale back when I was a student. I was talking to a nurse on my floor about it the other day but can't seem to remember why the 2 min rule for Protonix.

In addition to above mentioned reasons, pushing slowly gives you a chance to monitor for any adverse reaction. Many drugs are venoirritant. You'll find some patients that want their dilaudid "pushed fast" with a benadryl chaser. Otherwise it "didn't work."

I was taught to push it slow because it can cause permanent tinnitus when pushed fast. However, I was trying to find a source for you and a prelim (albeit very brief) search on my part didn't yield anything I could quote to you.

Quote from cjenrnYeah, as a general rule I give IVP over 2 minutes. I am just always someone who has to know why, like lasix pushed fast can cause deafness or pain/benzos can cause resp depression... i just remember an ICU nurse telling me the rationale back when I was a student. I was talking to a nurse on my floor about it the other day but can't seem to remember why the 2 min rule for Protonix.