Hello everyone,

Nitroglycerin for infusion is known to adsorb into PVC tubing. To what extent is variable and changes over time with the infusion.

I'm curious to learn more about how sites are approaching tubing with nitroglycerin:

1. For sites using a specialized low sorbing tubing set, what are safeguards implemented to promote consistent use of the specialized tubing for nitroglycerin including initial tubing sets and for tubing changes?

E.g., Creating a kit with tubing attached to nitroglycerin product.

Can anyone share their policy on how you monitor/regulate patients on a continuous infusion of a controlled substance that is being transported to another hospital outside of your institution?

Thank you,

Randi

There is also a discussion on ASHP message board regarding this topic, but I also wanted to check with the experts on this forum.

Does anyone have experience using Baxter's Mini-Bag Plus system for reconstituting 100mg powder vials and then administering a 100mg dose of Remdesivir?

My facility is having difficulty getting Glucagon ekits. However, we have vials of GlucaGen. Can these be used for a do-it-yourself ekit as this product is labeled for diagnostic use only. Also can anyone shed light on why it has that indication only? Also if it can be used for ekits,  what diluent should be used and how much of it, what size syringe and what gauge needle? Thanks for your help.
 

Good morning all,

As most of all of us are, we are experiencing shortage in sodium chloride 23.4% 30mL vials. we currently have 100 mL and 200 mLs vials. I am curious knowing how you guys dispense the 23.4% saline in your facility? Do you have it as vials in ADMs? or you send patient specific doses?

Does nurses draw up the medication on unit? how do you ensure that the remaining is wasted and not lying in the med room or their pockets?

Thank you in advance for all your help.

Mohamed

Good morning all,

As most of all of us are, we are experiencing shortage in sodium chloride 23.4% 30mL vials. we currently have 100 mL and 200 mLs vials. I am curious knowing how you guys dispense the 23.4% saline in your facility? Do you have it as vials in ADMs? or you send patient specific doses?

Does nurses draw up the medication on unit? how do you ensure that the remaining is wasted and not lying in the med room or their pockets?

Thank you in advance for all your help.

Mohamed

Good afternoon all,
Just trying to see what other institutions were able to "craft" for "bolus from the bag" administration documentation with BCMA. We have Sunrise CPOE, so if you have a process you are willing to share, I would greatly appreciate.
Thank you.
Marina.

Good Morning,

We recently had a significant error where a RN attempted to dilute an IV push medication with sodium chloride but inadvertently grabbed a vial of lidocaine that was mixed in with the sodium chloride. Unfortunately this error made it to the patient. The medication ordered does require diluting prior to administration by IV push.

Does anyone require the scanning of both the IV push medication and the diluent used?

Hello all.

I posed some HD questions to ASHP's medication safety list serve and have not received a whole lot of feedback. I am going to try this group since I am at a stopping point for our HD policy roll out until I have a better grasp on how to handle one topic in particular... the handling of HDs by personnel who are pregnant or trying to conceive.

Looking at the info provided by Lilly:

Preparation and Administration
• The 700 mg dose MUST BE prepared using 0.9% sodium chloride.
• Preparation of 700 mg dose of bamlanivimab for IV infusion*
• Administration of a dose of 700 mg of bamlanivimab in an IV infusion*
• Bamlanivimab solution for infusion should be prepared by a qualified health care professional using aseptic technique.