Narcotic dilutions for pediatric patients

PLEASE NOTE:   Posts made to this forum should not be considered as the expressed opinions of, nor should be considered endorsed by, the Medication Safety Officer’s Society (MSOS) or the Institute for Safe Medication Practices (ISMP). 

Make sure your email is up-to-date
In order to continue to receive updates from MSOS, as well as forum posts and other valuable information as a member of MSOS, please be sure to update your email address with us, whenever it changes. If you need assistance doing so, please send an email to jrufo@ismp.org

2 posts / 0 new
Last post
Meghan Rowcliffe
Meghan Rowcliffe's picture
Offline
Last seen: 4 months 3 weeks ago
Joined: 12/15/2014 - 15:53
Narcotic dilutions for pediatric patients

For those hospitals that care for pediatric patients, does your pharmacy provide a hydromorphone injection dilution for intermittent dose administration? If so, what concentration and stability?

We currently stock fentanyl 4 mcg/mL dilution and morphine 1 mg/mL dilution in our Pyxis for pediatrics, but for patients on very low doses of hydromorphone, nurses often need to dilute the hydromorphone 2 mg/mL product themselves to be able to administer the dose.

Your feedback is much appreciated!