IV dilution questions

[Me_Gusta_Drugs]

Does Ativan and Versed gtt's require light protection (ie. amber bag) AFTER being diluted (ie. just like lasix and nitroprusside IVPB's). I have this written down but can't find the answer on several different resources.

Also can you put Ativan and Nitroglycerin IV's in PVC-free bags...or do you have to use glass bottles. A couple pharmacists were giving conflicting advice about this.


Heres my light protect list of more common stuff of stuff thats not premixed.
• lasix (room temp), Versed, doxycycline, bactrim, Norepinephrine/epi/nipride, Vitamin K

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[phathead]

I've been under the impression that Nitro always has to be in a non-PVC container

 

[Me_Gusta_Drugs]

I know non-pvc container but the question is glass vs non-pvc BAG
most the time u can use these bags but i was told by a certain pharmacist you must use the glass bottles for ntg and ativan

 

[rxlea]

I know non-pvc container but the question is glass vs non-pvc BAG
most the time u can use these bags but i was told by a certain pharmacist you must use the glass bottles for ntg and ativan

ativan can go in a non-pvc bag. the aviva bags work fine. we always put nitro in bottles.

At my hospital, we don't protect ativan nor versed from light. I think it might be longterm exposure to light that is the problem.

 

[phathead]

I know non-pvc container but the question is glass vs non-pvc BAG
most the time u can use these bags but i was told by a certain pharmacist you must use the glass bottles for ntg and ativan

I used the term container to cover all forms of holding devices for nitro

 

[psychoandy]

Does Ativan and Versed gtt's require light protection (ie. amber bag) AFTER being diluted (ie. just like lasix and nitroprusside IVPB's). I have this written down but can't find the answer on several different resources.

Also can you put Ativan and Nitroglycerin IV's in PVC-free bags...or do you have to use glass bottles. A couple pharmacists were giving conflicting advice about this.


Heres my light protect list of more common stuff of stuff thats not premixed.
• lasix (room temp), Versed, doxycycline, bactrim, Norepinephrine/epi/nipride, Vitamin K

Where I work, the only ones from that list that we consistently overwrap is nitroprusside, but we rarely see that; pretty much the only one I ever see on a day to day basis is Micafungin.

It definitely makes theoretical sense to overwrap considering that all of the above come in brown amps/vials, but yet premade syringes that we have are exposed to some light from being in the fridge or hanging or whatnot. Would definitely like to see a "real world" degredation test of a norepi syringe sitting under fluorescent light for a couple days.