MSOS Discussion Board

Promethazine Dilution by Nursing

Zachary Hodges's picture

Forums: 

For those of you that require dilution of promethazine, especially for those that dilute it in 50mL NS.

Who does the dilution? Pharmacy? Nursing?

We talked about pharmacy diluting the product in a 50mL bag, but with the short BUD and potential influx of 30-50 orders/day, I don't think it's within our logistical reach.

BUD for Water

Sarah Durham's picture

Forums: 

Hi, I am wondering what other hospitals use for their beyond use date for water used to reconstituting oral liquid medications? Or BUD for any sterile/distilled water used for non-sterile compounding purposes?

Bonus if you have resources or references to direct me to.

Thank you in advanced!

Sarah

BUD for Water

Sarah Durham's picture

Forums: 

Hi, I am wondering what other hospitals use for their beyond use date for water used to reconstitute oral liquid medications? Or BUD for any sterile/distilled water used for non-sterile compounding purposes?

Bonus if you have resources or references to direct me to.

Thank you in advanced!

Sarah

Max guardrail settings for IV treprostinil

Daniel Kudryashov's picture

Forums: 

What are your soft and hard max guardrail settings for IV treprostinil in your smart pump library. Our soft max is 40 ng/kg/min and hard max is 100 ng/kg/min. However, we have on rare occasion encountered patients receiving above 100 ng/kg/min over the years and currently have a pt with a dose above 200 ng/kg/min. Thank you in advance.

midazolam drip for palliative care/end of life

Jeanette Dean's picture

Forums: 

Does your facility allow titration of midazolam outside of the critical care setting? ex. titration of midazolam for palliative care/end of life patients

Currently we allow a continuous infusion with no titration. Rate changes are to be ordered by the provider.

Thank you in advance for your feedback!

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