Ch. 19 IV Drug Comp. Flashcards
Key Drugs that Require NON-PVC Containers
LATIN Lorazepam Amiodarone Tacrolimus Insulin Nitroglycerin (cancer agents)
Key Drugs that Require Saline (No Dextrose)
ACID APE Ampicillin Caspsofungin (Cancidas) Infliximab Daptomycin (Cubicin) Ampicillin/Sulbactam (Unasyn) Phenytoin Ertapenem (Invaz)
Key Drugs that Require Dextrose (No Saline)
ABS
Amphotericin B (all)
Bactrim
Synercid (quinupristin/dalfopristin)
Mycophenolate
Key Drugs with Filter Requirements
Pheny Goli in LALA land Phenytoin Golimumab Lipids (1.2) Amphotericin B (lipid-5 micron) Lorazepam Amiodarone Parenteral Nutrition
Drugs that have interaction when given with longer infusions
Pip/Tazo Azithromycin Ciprofloxacin Tobramycin Vancomycin Insulin Vasopressors
Key Drugs that Should NOT be Refrigerated
Dear Sweet Pharmacist, Marry Me Forever Ever Dexmedetomidine (Precedex) SMZ/TMP Phenytoin (crystallizes) Metronidazole Moxifloxacin (Avelox) Furosemide (crystallizes) Enoxaparin
Acyclovir
Functional Groups that are Subject to Hydrolysis
Esters, amides, lactones, lactams
Drugs that Degrade with Agitation
Alteplase Immune Globulins Insulins Rasburicase Zoster
Drugs that must be swirled, not shaken
Quinuprostin/dalfopristin (Synercid)
Etarnercept (Enbrel)
Key Drugs that Must be Protected from Light
Deliver Every Known Needed Medication Doxycycline Epoprostenol (Flolan) K (vit K) phytonodione Nitroprusside Micafungin (Mycamine)
Nitroprusside when exposed to light
Turns orange, dark brown or blue. Blue color means complete decomposition (to cyanide). If discolored, do not use
Chlorpromazine when degraded
A slightly yellow color is accepted. Do not use if darker than light yellow
Dacarbazine when decomposed
Turns pinks; Do not use
Dobutamine when oxidized
Turns slightly pink, but potency is not lost
Dopamine when degraded
Slightly yellow color is acceptable. Do not use if darker than light yellow