Preparing IV Medications Flashcards
List twelve (12) drugs with leaching/adsorption/absorption issues with PVC containers (hint: LATTIN + six others)
- Lorazepam
- Amiodarone
- Tacrolimus
- Taxanes
- Insulin
- Nitroglycerin
- Carmustine
- Ixabepilone
- sufentanil
- temsirolimus
- teniposide
- thiopental
List sixteen (16) drugs that are SALINE (no dextrose) (hint: ACID APE + 9 others) (Second hint: ACID is ABX, ABX, Biologic, ABX, APE is ABX, antiepileptic, ABX)
- Ampicillin
- Caspofungin (Cancidas)
- Infliximab (Remicade)
- Daptomycin (Cubicin)
- Ampicillin/sulbactam (Unasyn)
- Phenytoin
- Ertapenem (Invanz)
- Abatacept (Orencia)
- Azacitidine (VIdaza) NS
- Belimumab (Benlysta)
- Bevacizumab (Avastin)
- Idarucizumab (Praxbind)
- Iron Sucrose (Venofer)
- Sodium Ferric Gluconate Complex (Ferrlecit)
- Natalizumab (Tysabri)
- Trastuzumab (Herceptin)
List fourteen (14) Common Drugs with Filter Requirements (Hint: Thats my GAL, PLAT [who’s head is flat] + 7 others) (Second hint: GAL is TNF-inhibitor, antiarrhythmic, sedative, PLAT is antiepileptic, nutrition, amphotericin B, chemo)
- Golizumab (Symponi)
- Amiodarone
- Lorazepam* filter only required for continuous IV, not push
- Phenytoin*
- Lipids** 1.2 micron
- amphotericin B (lipid formulations)** 5 micron
- taxanes, except docetaxel
- Abatacept (Orencia)
- Abciximab (ReoPro)
- Infliximab (Remicade)
- Isavuconazonium (Cresemba)
- Mannitol (Osmitrol)
- Thiotepa
- some albumin products
List seven (7) drugs that are DEXTROSE (no Saline) (Hint: BOAS + 3 others) (double hint: BOAS includes ABX, chemo, ABX, ABX)
- Bactrim (SMX/TMP)
- Oxaliplatin
- Amphotericin B (all)
- Synercid (Quinupristin/dalfopristin)
- Carfilzomib (Kyprolis)
- Mycophenolate (Cellcept IV)
- Pentamidine
List two (2) High-Risk incompatibilities
- Calcium + Ceftriaxone
2. Calcium + Phosphate
List thirteen (13) Do Not Refrigerate drugs (Hint: Dear Sweet Pharmacist, Marry Me Forever, Eternally + 6 others) (Double hint: acronym is sedative, ABX, antiepileptic, ABX, ABX, diuretic, blood thinner)
- Dexmedetomidine (Precedex)
- Sulfamethoxazole/Trimethoprim (Bactrim)
- Phenytoin - crystallizes
- Metronidazole
- Moxifloxacin (Avelox)
- Furosemide - crystallizes
- Enoxaparin (Lovenox)
- Acetaminophen (Ofirmev)
- Acyclovir - crystallizes
- Deferoxamine (Desferal) – Precipitates
- Levetiracetam (Keppra)
- Pentamidine - crystallizes
- Valproate
List 8 drugs with Do Not Shake/Agitate Precautions (Hint: five proteins, 1 vaccine, two drugs that foam when reconstituting)
- Albumin
- Alteplase
- Immune globulins
- Insulin
- Rasburicase
- Zoster
- Quinupristin/dalfopristin (synercid)
- Etancercept .. both drugs should be swirled while reconstituting
List 10 drugs with Protect from Light During Administration precautions (Hint: DENMP Deliver Every Needed Medication with a light-Protective cover + 5 others)
- Doxycycline
- Epoprostenol (Flolan)
- Nitroprusside (Nitropress)
- Micafungin (Mycamine)
- Phytonadione (vitamin K; Mephyton)
- Ampho B Deoxycholate
- Anthracyclines
- Dacarbazine (if extravasates, protect exposed tissue from light)
- Thiotepa
- Pentamidine
List seven (7) IV drugs that come as colored solutions (hint: 2 red, 1 orange/yellow, 2 yellow, 1 blue, 1 brown)
- Anthracyclines (red)
- Rifampin (red)
- Tigecycline (yellow/orange)
- Methotrexate (yellow)
- Multivitamins for infusion (MVI) (Yellow)
- Mitoxantrone (blue)
- IV Iron, various (brown)
List ten (10) drugs that should be checked for color change/discarded if present (parenthesis indicates the condition for discard)
- chlorpromazine slightly yellow okay (darker than slight yellow)
- Dacarbazine (pink)
- Dopamine slight yellow okay, extravasation antidote phentolamine (darker than slight yellow)
- Epinephrine (pink, then brown)
- Isoproteronol damaged by air, light and heat (Pink or Darker)
- Morphine (dark)
- Nitroprusside blue indicates nearly complete dissociation to cyanide, antidote is Cyanokit (Orange -> Brown-> Blue)
- Norepinephrine normal yellow/orange (brown or any discoloration)
- Tigecycline (green/black)
