nipride gtt

[chimichanga]

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Curious to your policies on adding Sodium Thiosulfate to nipride gtts?

Should it be mandated, or is adding it everytime overkill?

thanks

 

[sdn1977]

We don't add it & I've never added it.

We also don't use nipride for long term or much above 3-4 mcg/kg/min.

 

[ZpackSux]

good question.

Perhaps adding it to every bag of nipride may be an overkill. But have it available for CN toxicity...

 

[chimichanga]

most places I've worked have required it (pharmacy policy)...

small rural hospital now, says to me "we'll just treat cyanide toxicity if we need to"

problem is, no in house (open) pharmacy from 2200-0700...

Cyanide tox can happen quickly, and at 0300, with a new nurse not titrating properly, and no pharmacy, isn't this problematic (no Sodium Thiosulfate in the ER or ICU pyxis)

thoughts?

 

[ZpackSux]

most places I've worked have required it (pharmacy policy)...

small rural hospital now, says to me "we'll just treat cyanide toxicity if we need to"

problem is, no in house (open) pharmacy from 2200-0700...

Cyanide tox can happen quickly, and at 0300, with a new nurse not titrating properly, and no pharmacy, isn't this problematic (no Sodium Thiosulfate in the ER or ICU pyxis)

thoughts?

Not a problem for 24 hour operation... have a CN poison kit ready.

 

[chimichanga]

good idea, but our lead pharm is hesitant to have meds outside of the pyxis...but we do have an RSI kit w/ etom and succ not in the pyxis...I'll suggest it...


thanks...

 

[ZpackSux]

You can still have a medication room that is not a part of the pharmacy for nurse supervisor access when the pharmacy is not open. It's kosher per JCAHO ..I mean Joint Commission... unless you're in Louisiana or PA where that's not allowed.

 

[tussionex]

You can still have a medication room that is not a part of the pharmacy for nurse supervisor access when the pharmacy is not open. It's kosher per JCAHO ..I mean Joint Commission... unless you're in Louisiana or PA where that's not allowed.

we have a "night cart" that nursing supervisors can access...we also have our code boxes formatted to be more of "emergency medication" boxes...perhaps it can be added to either of those two options.

no, we never add thiosulfate to any nipride drips