Should you mix decadron and depo-medrol in one intramuscular The mixing of drug salts of calcium, and to a lesser extent magnesium, with phosphates, carbonates, bicarbonates, tartrates or sulfates should also be avoided. I have a doctor that keeps insisting its ok to mix ketorolac and phenergan in a single syringe for an IM injection but my davis guide states Syringe Incompatibility:trout: It means they cannot be given via the same syringe, they most likely precipitate off each other and form solid particles. Low-solubility agents, favored for joint injection, should not be used for soft tissue injection because of the increased . Specializes in Corrections. Stop using ketorolac and get medical help right away if you notice any of the following rare but serious side effects: stomach/abdominal pain that doesn't go away, bloody or black/tarry stools, vomit that looks like coffee grounds, chest/jaw/left arm pain, shortness of breath, unusual sweating, weakness on one side of the body, sudden vision changes, trouble speaking. Applies to: Norflex Injectable (orphenadrine) Alcohol can increase the nervous system side effects of orphenadrine such as dizziness, drowsiness, and difficulty concentrating. Two syringes taped together sounds like a recipe for disaster, either for the patient or for the nurse - particularly with regard to increased risk for needle sticks. Allow him or her to mix the medication and administer it. A total of All rights reserved. If drugs are mixed together, the mixture should be inspected for precipitates, turbidity or changes in colour, however not all incompatibilities are visible. Furthermore, the two medications are not interchangeable. Keep track of medicines and access important health info any time and anywhere, especially in emergencies. Dexamethasone and ketorolac Interactions - Drugs.com 3. You should avoid or limit the use of alcohol while being treated with orphenadrine. Create well-written care plans that meets your patient's health goals.