Normal Saline Question

[Daggum]

I have a quick question about NS and I thought that this area would yield me the best answers. What drugs are commonly hung in the hospitals that are not compatible with NS? Like, is there a certain drug that won't be able to piggyback with a NS flush afterwards? The software at my clinical site doesn't let me choose normal saline as an option for a compatibility check. The only thing I can check is if the bag is compatible with D5W or as is compatible w/ electrolytes like potassium chloride or something else.

 

[njac]

Amphotericin B needs to be flushed before and after with D5W.

I believe Acyclovir has a super short stability in NS, but can't recall. Micromedex will check with NS if you pick the single drug option.

 

[xiphoid2010]

On oncology side, while cisplatin must be in saline, oxaliplatin can't be mix with saline.

 

[rxlea]

ambisome cant go in NS ever.
Acyclovir is 24 hours and I believe keppra is too.


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[cycloketocaine]

ambisome cant go in NS ever.
Acyclovir is 24 hours and I believe keppra is too.


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I hate making keppra. Ugh.

 

[bluejacket]

My additions to the list of incomaptibilities with NS: amiodarone, diazepam, ampicillin and atracurium.

 

[rxlea]

My additions to the list of incomaptibilities with NS: amiodarone, diazepam, ampicillin and atracurium.

Amoidarone and ampicillin can go in NS. Ampicillin just has a 6 hour expiration (or is it 8?)from the time of compounding. Amiodarone drip in a non PVC bag is good for 7 days.

 

[Quagmire2009]

.....

 

[Nkemjika]

Amiodarone is usually put in D5W because the information on NS expiration is conflicting.
Ampicillin can go in NS with 8hr room temp expiration ( 48hrs refrigerated expiration at least for conc of 30mg/ml for peds at my hospital).If ampicillin is made in D5W it gets a 2 hour expiration hence why NS is more ideal.

 

[CUpharmD2013]

I have a quick question about NS and I thought that this area would yield me the best answers. What drugs are commonly hung in the hospitals that are not compatible with NS? Like, is there a certain drug that won't be able to piggyback with a NS flush afterwards? The software at my clinical site doesn't let me choose normal saline as an option for a compatibility check. The only thing I can check is if the bag is compatible with D5W or as is compatible w/ electrolytes like potassium chloride or something else.

http://www.kingguide.com/

Wall chart for $15 may have what you need.

 

[R xxx]

levophed