Ch. 19 IV Drug Comp. Flashcards Preview

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Flashcards in Ch. 19 IV Drug Comp. Deck (22)
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1
Q

Key Drugs that Require NON-PVC Containers

A
LATIN
Lorazepam
Amiodarone
Tacrolimus
Insulin
Nitroglycerin
(cancer agents)
2
Q

Key Drugs that Require Saline (No Dextrose)

A
ACID APE
Ampicillin
Caspsofungin (Cancidas)
Infliximab
Daptomycin (Cubicin)
Ampicillin/Sulbactam (Unasyn)
Phenytoin
Ertapenem (Invaz)
3
Q

Key Drugs that Require Dextrose (No Saline)

A

ABS
Amphotericin B (all)
Bactrim
Synercid (quinupristin/dalfopristin)

Mycophenolate

4
Q

Key Drugs with Filter Requirements

A
Pheny Goli in LALA land
Phenytoin
Golimumab
Lipids (1.2)
Amphotericin B (lipid-5 micron)
Lorazepam
Amiodarone
Parenteral Nutrition
5
Q

Drugs that have interaction when given with longer infusions

A
Pip/Tazo
Azithromycin
Ciprofloxacin
Tobramycin
Vancomycin
Insulin
Vasopressors
6
Q

Key Drugs that Should NOT be Refrigerated

A
Dear Sweet Pharmacist, Marry Me Forever Ever
Dexmedetomidine (Precedex)
SMZ/TMP 
Phenytoin (crystallizes)
Metronidazole
Moxifloxacin (Avelox)
Furosemide (crystallizes)
Enoxaparin

Acyclovir

7
Q

Functional Groups that are Subject to Hydrolysis

A

Esters, amides, lactones, lactams

8
Q

Drugs that Degrade with Agitation

A
Alteplase
Immune Globulins
Insulins
Rasburicase
Zoster
9
Q

Drugs that must be swirled, not shaken

A

Quinuprostin/dalfopristin (Synercid)

Etarnercept (Enbrel)

10
Q

Key Drugs that Must be Protected from Light

A
Deliver Every Known Needed Medication
Doxycycline
Epoprostenol (Flolan)
K (vit K) phytonodione
Nitroprusside 
Micafungin (Mycamine)
11
Q

Nitroprusside when exposed to light

A

Turns orange, dark brown or blue. Blue color means complete decomposition (to cyanide). If discolored, do not use

12
Q

Chlorpromazine when degraded

A

A slightly yellow color is accepted. Do not use if darker than light yellow

13
Q

Dacarbazine when decomposed

A

Turns pinks; Do not use

14
Q

Dobutamine when oxidized

A

Turns slightly pink, but potency is not lost

15
Q

Dopamine when degraded

A

Slightly yellow color is acceptable. Do not use if darker than light yellow

16
Q

Norepinephrine when oxidized

A

Turns brown. If discolored, do not use

17
Q

Epinephrine when oxidized

A

Turns pink, then brown. Do not use if discolored

18
Q

Isoproterenol with exposure to light, air, or increased temperature

A

Turns pink or darker. If discolored, do not use

19
Q

Morphine when degraded

A

If dark, do not use

20
Q

Tigecycline when reconstituted and degraded

A

When reconstituted, solution is yellow/orange

Do not use if green/black

21
Q

Cyanokit proper solution color

A

Discard if solution is not dark red

22
Q

Types of Physical Icompatibilities

A

Drug that cannot be placed in a PVC

Drug that is incompatible with NS