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  • Critical Care Drug Compatibility Table

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    Riga 'Azoe' Alriani
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    This critical care drug compatibility chart provides guidelines on combining drugs for administration through a single intravenous line or Y-site. It lists specific drug combinations that are compatible, incompatible, or require contacting pharmacy for advice. The chart applies to drugs prepared as per the hospital's standard infusion charts and is intended for critical care and cardiac surgery patients. It notes some changes from the previous version and should be reviewed annually, as clinical guidelines are meant as guidance and individual clinical judgement is important.

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    This critical care drug compatibility chart provides guidelines on combining drugs for administration through a single intravenous line or Y-site. It lists specific drug combinations that are compatible, incompatible, or require contacting pharmacy for advice. The chart applies to drugs prepared as per the hospital's standard infusion charts and is intended for critical care and cardiac surgery patients. It notes some changes from the previous version and should be reviewed annually, as clinical guidelines are meant as guidance and individual clinical judgement is important.

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    1K tayangan3 halaman

    Critical Care Drug Compatibility Table

    Diunggah oleh

    Riga 'Azoe' Alriani
    This critical care drug compatibility chart provides guidelines on combining drugs for administration through a single intravenous line or Y-site. It lists specific drug combinations that are compatible, incompatible, or require contacting pharmacy for advice. The chart applies to drugs prepared as per the hospital's standard infusion charts and is intended for critical care and cardiac surgery patients. It notes some changes from the previous version and should be reviewed annually, as clinical guidelines are meant as guidance and individual clinical judgement is important.

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    © All Rights Reserved
    Unduh sebagai PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 3

    CRITICAL CARE DRUG COMPATIBILITY CHART

    Full Title of Guideline: Critical care drug compatibility chart.


    Critical Care Pharmacists.
    Author (include email and role):
    elizabeth.jamieson@nuh.nhs.uk
    Division & Speciality: Clinical Support, Critical Care. Medicine, Cardiac Surgery
    Version:
    Critical care governance group. Cardiac governance
    Ratified by:
    group.
    Scope (Target audience, state if Trust Critical care and CICU nurses, doctors and pharmacists.
    wide):
    Review date (when this version goes out January 2019. Do not use after January 2020.
    of date):
    Explicit definition of patient group Adult critical care and cardiac surgery patients.
    to which it applies (e.g. inclusion and
    exclusion criteria, diagnosis):
    Plasmalyte and milrinone added. Rocuronium/propofol
    Changes from previous version (not changed to incompatible.
    applicable if this is a new guideline, enter
    below if extensive):

    Summary of evidence base this Consult critical care pharmacists for full references.
    guideline has been created from:
    This guideline has been registered with the trust. However, clinical guidelines are
    guidelines only. The interpretation and application of clinical guidelines will remain the
    responsibility of the individual clinician. If in doubt contact a senior colleague or expert.
    Caution is advised when using guidelines after the review date or outside of the Trust.

    1
    Adrenaline
    Alfentanil
    Directorate of Critical Care IV Drug Compatibility Chart
    Aminophylline
    Amiodarone
    Atracurium
    Ciprofloxacin Two drug Y- site Compatibility
    Cis-atracurium
    Incompatible at Y site
    Clonidine
    Digoxin
    Dobutamine Compatible at Y site
    Dopamine
    Erythromycin Contact pharmacy for advice
    Fluconazole
    Furosemide
    Hartmann’s (Compound Sodium Lactate)
    Heparin
    Hydralazine
    Insulin
    Ketamine
    Labetalol
    Magnesium in NaCl 0.9%
    Midazolam
    Milrinone
    Morphine
    Nitroglycerin (Glyceryl trinitrate; GTN)
    Noradrenaline
    Phenytoin
    Plasmalyte
    Potassium Chloride
    Potassium Acid Phosphate
    Propofol
    Rocuronium
    Sodium bicarbonate
    Thiopental
    Vancomycin
    Vasopressin

    2
    This chart is only applicable for drugs prepared and diluted as per the NUH Critical Care standard infusion chart 2016,
    or CICU standard infusions table 2017.
    For other enquiries please contact either the Critical Care pharmacist or Medicines Information.
    Out of hours please contact on- call pharmacist via switchboard.

    Adult Critical Care Compatibility Information


    Although the routine co-administration of drugs at Y site should be avoided wherever possible the following is a list of common drug
    infusion combinations when access is limited:

    Lumen One - Inotropes in Dextrose 5% in any combination:

    - Noradrenaline, Adrenaline or Dobutamine with Amiodarone


    - Noradrenaline or Adrenaline with Neat Potassium chloride NB: on CICU neat potassium chloride ideally should have a
    dedicated lumen (as part of the local agreement).

    If no alternative 3 of the following may be co-administered: - Noradrenaline, Adrenaline, Milrinone or Dobutamine


    - Noradrenaline, Adrenaline, Milrinone or Dopamine

    Lumen Two - Sedation in Sodium Chloride 0.9%:


    - Morphine or Alfentanil with Midazolam If there is no alternative the following combinations may be co-administered:
    - Morphine or Midazolam with Atracurium - Morphine, Midazolam and Propofol
    - Alfentanil or Morphine with Propofol - Morphine, Midazolam and Atracurium
    - Alfentanil with Atracurium - Alfentanil, Midazolam and Atracurium
    - Midazolam with Propofol - Midazolam, Morphine and Rocuronium
    - Morphine or Midazolam with Rocuronium

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