I was wondering if anyone knew a website or something of medications that must be given through a central line. I just want it as a reference since I recently heard a story about 3% saline given through a peripheral and it was missed by the doctor AND pharmacist that it needed to be given through a central line and ultimately came down to the nurse. Forunately there was no negative outcomes for the patient.
Using google, I found several webpage sources that mentioned that drugs prone to causing phlebitis in peripheral veins should be given via a central line. However, I am not comfortable with any of the sources as "quality" sources.
If you are daring enough to accept that assumption regarding phlebitis, the following article mentions some drugs that are more likely to cause phlebitis (and I think most/all were on the lists about central lines). See the first column on page 3 - http://www.nursingcenter.com/pdf.asp?AID=765665
Also, if you have online access to a drug guide, you may be able to search for key terms like "large vein" or other terms (sorry, I forgot which other ones I used). In the Davis online access, searching "large vein" brings up 18 or so drugs. Most, if not all, were on the previous "general" lists.
Sorry it's not a complete list, but it might be a start.
Last edit by IndyElmer on May 20, '12
: Reason: adding correct article link