learning IV medications Flashcards
vincristine is CI through what route
intrathecal
parental routes include
IV, IM, SC, Transdermal
a catheter inserted into a vein is called a
venous catheter
peripheral lines
smaller veins
simpler, less expensive
can cause phlebitis, extravasation, venous thrombosis (clots)
central lines are good for
highly concentrated drugs long term antibiotics toxic drugs (chemo therapy) drugs with a ph or osmolaltiy not close or blood ph parenteral nutrition
central lines empty into the
superior vena cava
a picc line is a central line that is inserted from a peripheral smaller vein
peripherally inserted central catheter
and is simpler than a direct central line
vesicant drugs cause severe
vesicants are safer with a __ line
tissue damage
central
vesicants include
vasopressors (dopamine, NE) anthracyclines (doxorubicin) vinca alkaloids (vincristine, vinblastine) digoxin foscarnet nafcillin mannitol mitomycin promethazine
promethazine causes severe
tissue injury do not use in children less than 2 some hospitals have removed it from formulary not to be given SC or intra aterial IM preferred but still risk
books for incompatibilites
trissels (handbook on injectable drugs)
kings guide
lexi, clinical pharm, micromedex
what leaches from the PVC (polyvinyl chloride) container
DEHP (diethylhexyl phthalate)
drugs that have problems with pvc leaching can be placed in
polyolefin, polypropylene, or glass
key drugs with leaching issues (do not use with PVC)
LATTIN
Lorazepam Amiodarone Tacrolimus Taxanes Insulin Nitroglycerin (glasserin)
saline drugs (a diabetic cant eat pie)
A Ampicillin D Daptomycin (cubicin) I Infliximab (remicade) A Ampicllin/sulbactam (unasyn) C Caspofungin (cancidas) E Ertapenem (invanz) P Phenytoin (dilantin)
dextrose drugs (BOAS)
B Bactrim
O Oxaliplatin
A Amphotericin B
S Synercid (quinpristin/dalfopristin)
high risk iv incompatibilites
ceftriaxone and calcium (including lactated ringers)
phosphate and calcium
filter drugs (gal plat) whos head is flat
G Golimumab (simponi) A Amiodarone L Lipids P Phenytoin L Lorazepam A Amphotericin B T Taxanes
most IV drugs are kept
cold/ in the fridge
IV drugs that you do not refrigerate
dear sweet pharmacist, freezing makes me edgy
D dexmedetomidine (precedex) S Sulfameth (bactrim) P Phenytoin F Furosemide M Metronidazole M Moxifloxacin (avelox) E Enoxaparin (lovenox)
drugs to protect from daylight
Protect Every Necessary Med from Daylight
P Phytonadione (vit k) E Epoprostenol N Nitroprusside M Micafungin D Doxycycline
do not shake
hormones proteins albumin alteplase immune globulins insulins mabs rasburicase some vaccines-zoster
do not use nitroprusside if color is
blue = cyanide
antidote for cyanide or nitroprusside toxicity
cyanokit
anthracycline color (doxarubicin)
red
rifampin color
red
mitoxantrone color
blue
