NTG IV and compatability - page 2

Hi everyone. I have a question about Nitro IV. In my Davis' Drug guide it says that the manufacturers don't recomend mixing or adding anything to it or running it with anything else. I have also... Read More

  1. by   rnmaven
    Thanks for the Literature Search! Great references.......I'll keep them on file. I think the bottom line is that we still have to follow whatever the policy is at our respective institutions. Thanks for bringing us up to date......maybe we can use this info to change some policies!
  2. by   NYERRN
    Quote from jaimealmostRN
    Hi everyone. I have a question about Nitro IV. In my Davis' Drug guide it says that the manufacturers don't recomend mixing or adding anything to it or running it with anything else. I have also heard other RNs saying that nothing gets along with NTG. But the Davis' also lists some Y-site compatabilities (amiodarone, dilitiazem, dopamine, epi, famotidine, fentanyl, lasix, mso4, theo, propofol, and many others). I'm confused, what does everyone out there do??? Thanks!
    Compatibilities? Nitroglycerin infusions should have its own separate IV site thus preventing any accidental bolus' of NTG from other IVPB or IV push meds that are using the same line. No other drugs should be administered through this line if at all possible. Use a separate site for NTG and forget about compatibilities.
  3. by   RNCENCCRNNREMTP
    Quote from NYERRN
    Compatibilities? Nitroglycerin infusions should have its own separate IV site thus preventing any accidental bolus' of NTG from other IVPB or IV push meds that are using the same line. No other drugs should be administered through this line if at all possible. Use a separate site for NTG and forget about compatibilities.
    All boluses should be given through a separate dedicated line away from the drug infusion line. This is not just an issue with nitro but with any drug infusion. The thread was about in-line compatability, of which nitro and heparin are okay. It is a different issue altogether when you start considering the need for bolus meds through an IV with drugs already infusing. Then you absolutely need another line.
  4. by   veetach
    Quote from NYERRN
    Compatibilities? Nitroglycerin infusions should have its own separate IV site thus preventing any accidental bolus' of NTG from other IVPB or IV push meds that are using the same line. No other drugs should be administered through this line if at all possible. Use a separate site for NTG and forget about compatibilities.

    In a perfect world you can have a separate line for all critical drips. In my world unfortunately that isnt always a possibility.
  5. by   Cassie Ryan
    I wonder if you are getting confused with mixing in the bag and mixing at y-sites. in our IHD patients we put in two lines. Into one we put GTN, Hep and N-Acetylcysteine. We can also use Dopamine as well into the same IV line but obviously none of them can be mixed in the same bag.

    Cassie
  6. by   phillystudentforlife
    Does MSO4 stand for Morphine sulfate, or magnesium sulfate? Thanks!
  7. by   alkaleidi
    I agree with those above saying that NTG IV is actually compatible with quite a lot of drugs... however... if you have someone who is sick enough to need a NTG drip, chances are they should have a 2nd large bore IV site... so you can always run whatever else in the 2nd site just to be safe until you confirm compatibility with pharmacy. I have our pharmacy's extension embedded in my brain because I am frequently calling them to confirm -- sometimes taking advantage of their knowledge is more convenient than tracking down a compatibility chart and being able to find the drugs you need on there. :-)
  8. by   RunnerRN
    Quote from phillystudentforlife
    Does MSO4 stand for Morphine sulfate, or magnesium sulfate? Thanks!
    Wow, old thread. MSO4 is morphine, MgSO4 is mag sulfate. You can see why neither are approved abbreviations now.

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