IV Medications Flashcards

1
Q

When is a central line required?

A

highly concentrated drugs
long-term abx
toxic drugs that can cause phlebitis (chemo)
drugs with pH or osmolarity different to the bloods (parenteral nutrition)

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2
Q

Where does a PICC line empty?

A

into the superior vena cava

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3
Q

what is a vesicant?

A

a drug that can cause severe tissue damage if the catheter tip falls out of the vein

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4
Q

What types of drugs are vesicants?

A

vasopressors, anthracyclines (doxorubicin), vinca alkaloids, digoxin, foscarnet, nafcillin, mannitol, promethazine

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5
Q

How should promethazine be administered

A

Via central line! Vesicant!

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6
Q

What are some guides on iv compatibility

A

Trissel’s

King’s

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7
Q

Examples of chemical incompatibility

A

hydrolysis
oxidation
decomposition

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8
Q

What is DEHP

A

a plasticizer that can leach into drugs and is toxic

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9
Q

What can be used as an alternative to PVC containers to avoid leeching

A

polyolefin
polypropylene
glass

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10
Q

What are some key drugs that have compaitibility issues with PVC

A
Leaches Absorb To Take In Nutrients 
Lorazepam
Amiodarone
Tacrolimus
Taxanes 
Insulin 
Nitroglycerin
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11
Q

Drugs that require saline as a diulent

A
A DIAbetic Can't Eat Pie
Ampicillin
Daptoycin 
Infliximab 
Amp/Sulbactam 
Caspofungin
Ertapenem 
Phenytoin
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12
Q

Durgs than require dextrose diulent

A
BOAS with strangle the pharmacist that puts this drugs in anything that isn't dextrose 
Bactrim
Oxalplatin 
Amphotercin B 
Synercid
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13
Q

what compatibility issues occurs with ceftriaxone

A

CANNOT be mixed with calcium

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14
Q

Can ceftriaxone mix with lactated ringers?

A

NO! LR’s contain calcium

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15
Q

Which two items are notorious for forming percipitates when mixed?

A

calcium and phosphorus

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16
Q

what filter size is used for lipids?

A

1.2 microns

17
Q

what filter size is used for parenteral nutrition

A

0.22 microngs

18
Q

Key drugs that require filters

A
that's my GAL, PAT who's head is flat 
Golimumab
Amiodarone 
Lorazepam
Phenytoin 
Lipids
Amphotericin B
Taxanes
19
Q

What IV drugs should not be refridgerated

A
Dear Sweet Pharmacist, Freezing Makes Me Edgy
Dexmedetomidine 
Sulfameth/Trimethoprim
Phenytoin 
Furosemide
Metronidazole 
Moxiflox
Enoxaparin
20
Q

What drug comes as a blue IV fluid

A

Mitoxantrone

21
Q

What drugs come as red IV fluid

A

anthracyclines

rifampin