IV Incompatibilities Flashcards Preview

Pass Naplex Now Book II > IV Incompatibilities > Flashcards

Flashcards in IV Incompatibilities Deck (42):
1

Zovirax

- IV infusion length
- Reconstitute
- Sol'n for IV infusion
- Storage

Acyclovir

- IV infusion: over 1H to prevent renal damage
- Reconstitute: SW
- Sol'n for IV infusion: D5W, NS, LR
- Storage: do not refrigerate. Store at RT

2

Ampicillin

- Reconstitute:
- Compatible w/:



- Reconstitute: SW
- Compatible w/: D5W, NS

3

Cephalosproines

- Compatible w/:
- Storage:
- Renal adj:
- Liver adj:
- No adj:

Cefazoline: ancef
Cefepime: maxipime
Cefoperazone: cefobid
Cefotetan: cefotan
Cefoxitin: mefoxin
Ceftazidime: fortaz
Cetriaxone: rocephin
Cefuroxime: zinacef

- Compatible w/: D5W, NS
- Storage: fridge
- Renal adj: all except cefoperazone and ceftriaxone
- Liver adj: cefoperazone
- No adj: ceftriaxone

4

Ancef

- Dose

Cefazolin

- Usual IV dosage: 500mg to 1g IV Q8H

5

Ceforbid

- Dose

Cefoperazone

- Dose: 12g or 4g per day for pts w/ advance liver cirrhosis

6

Cefotan

- Dose

Cefotetan

- Dose: 1g Q12H

7

Mefoxin

- Dose

Cefoxitin

- Dose: 1g Q6-8H

8

Fortaz

- Dose

Ceftazidime

- IV dose: 1g IV Q8-12H

9

Rocephin

- Dose

Ceftriaxone

- IV dose: 4g max/day

10

Zinacef

- Dose

Cefuroxime

- Dose: 750 to 1.5g IV Q8H

11

Primaxim

- Storage:
- Reconstitute:

Imipenem/Cilistatin

- Storage: fridge
- Reconstitute: NS

12

Invanz

- Storage:
- Reconstitute:

Ertapenem

- Storage: fridge
- Reconstitute: NS

13

Doribax

- Reconstitute:

Doripenem

- Reconstitute: NS, D5W

14

Merrem

- Reconstitute:

Meropenem

- Reconstitute: NS, D5W

15

Ciprofloxacin

- Reconstitute
- Storage

- Reconstitute: NS, D5W, SW, LR
- Storage: protect from light and RT

16

Levofloxacin

- Reconstitute
- Storage
- Expiration for diluted sol'n

- Reconstitute: NS, D5W, SW, LR
- Storage: protect from light and RT
- Expiration for diluted sol'n: 72H RT, 14d fridge

17

Vancomycin

- Compatible
- Expiration for diluted sol'n

- Compatible: D5W, NS
- Expiration for diluted sol'n: 24H RT, 14d fridge

18

Cubicin

- Compatible
- Undiluted vial store in:

Daptomicin

- Compatible; NS
- Fridge

19

Zyvox

- Compatible:
- Storage:

Linezolid

- Compatible: D5W
- Storage: RT

20

Synercid

- Compatible
- Storage for unopened vial

Quinupristin/Dalfopristin

- Compatible: D5W
- Storage for unopened vial: fridge
- Do not shake to limit foam

21

Bactrim

- Reconstitute
- Storage
- Dose: usual IV, PCP, UTI
- Dose base on:
- Renal adjust


- Reconstitute: D5W
- Storage: 6H RT, protect from light

Dose:
- Usual IV: 8-10mg/kg/d Q6,8,12H
- PCP: 15-20mg/kg/d
- UTI: 1DS tab BID
- Dose base on: Trimethoprim
- Renal adjust: yes when CrCl less than 30

22

Flagyl

- Storage:
- Reconstitute
- Do not use needle contain

Metronidazole

- Storage: protect from light. Store in fridge = crystal may form. Dissolve on RT
- Reconstitute: NS
- Do not use needle contain: Aluminum. Cause med to discoloration

23

Rifampin

- Reconstitute:
- Storage


- Reconstitute: D5W, NS
- Storage: protect from light
NS: 24H
D5W: 4H

24

Amphotericin B

- Reconstitute:
- In-line filter
- Storage
- Final Concentration


- Reconstitute: D5W
- In-line filter for ampho B but not for lipid complex
- Storage: fridge, protect from light
- Final Concentration
* Do not exceed 0.1mg/mL fo peripheral
* Do not exceed 0.25mg/mL for central line

25

Amphotericin B Lipid Complex

- Reconstitute:
- In-line filter
- Storage
- Final Concentration



- Reconstitute: D5W
- In-line filter: No
- Storage: Fridge, protect from light
- Final Concentration: 1mg/mL

26

Candidas

- Reconstitue
- Vials storage

Caspofungin

- Reconstitue: NS
- Vials storage: fridge

27

Nitroglycerin

- Bottle:
- Storage of tab


- Use glass bottle
- Storage of tab: protect from light

28

Nitroprusside

- Storage
- Reconstitute


- Storage: protect from light
- Reconstitute: D5W. Use immediately

29

Amrinone

- Indication:
- Reconstitute:

Inamrinone

- Indication:
- Reconstitute: NS or 1/2NS

30

Diltiazem

- Storage


- Storage: fridge

31

Ativan

- Route:
- Storage:
- Reconstitute
- Inline:

Lorazepam

- Route: IV, IM
- Storage: fridge, protect from light
- Reconstitute: D5W, NS
- Inline filter w/ 0.22 micron

32

Amiodarone

- Storage
- Reconstitute
- Bag for infusion
- Dose for IV

- Storage: RT, protect from light
- Reconstitute: D5W (and NS at concentration 1.8-4mg/mL)
- Bag: PVC bag for up to 2H w/ 0.22 micron in-line filter. Rec dilute in glass

Dose:
- 150mg over 10 min
- 360mg over 6H
- 540mg over 18H

33

Gengraf
Neograf
Sandimmune
Restasis

- Indication
- Warning

- Sandimmune Injection
* Storage:
* Ampule:
* Reconstitute:

Cyclosporin

Indication
- Ppx for organ rejection
- Severe, active RA
- Severe, plaque psoriasis
- Increase tear production (Restasis)

Warning
- Nephrotoxicity
- Hepatotoxicity

- Sandimmune Injection
* Storage: RT
* Ampule: protect from light
* Reconstitute: D5W or NS

34

Sandostatin

- Indication:
- Storage for sol'n and suspension:

Octreotide

- Indication: Diarrhea associated with carcinoid tumors
- Storage for sol'n and suspension: Fridge

35

Diprivan

- Indication:
- C/I
- Storage
- Reconstitute

Propofol

- Indication: general anesthetic
- C/I: eggs, soy
- Storage: RT and protect from light
- Reconstitute: D5W

36

Anectine

- Indication
- Storage

Succinylcholine

- Indication: Neuromuscular blocking agent used adjunct to anesthesia to facilitate both rapid and routine endotracheal intubation and to relax skeletal muscle
- Storage: fridge

37

Dilantin
Dilantin Infatabs
Phenytek
Phenytoin Infatabs

- Storage:
- Reconstitute:
- Do not adm through
- Max rate:

Phenytoin

- Storage: RT
- Reconstitute: NS. DO NOT compatible w/ D5W
- Do not adm through PICC lines as it will precipitate and block line
- Max rate: 50mg/min

38

Fosphenytoin

- Storage:
- Reconstitute:

- Storage: fridge
- Reconstitute: D5W, NS

39

Reopro

- Reconstitute

Abciximab

- Reconstitute: D5W or NS

40

Aggrastat

- Reconstitute

Tirofiban

- Reconstitute: D5W or NS

41

Integrillin

Eptifibatide

- Use directly from vial

42

Levothyroxine

- Storage:
- Reconstitute
- Shelf life after dilution


- Storage: RT, protect from light
- Reconstitute: NS
- Shelf life after dilution: very short therefore use immediately