I Work nights and a lot of times we have to mix our own IV drugs because pharmacy isn't available. examples like amiodrone , cardizem, Dilantin, nitro... Ect. It gets frustrating because the reference they provided us doesn't have every drug we need. Thanks
Anna Flaxis, BSN, RN 3 Articles; 2,816 Posts Has 16 years experience. Dec 17, 2013 Does this help?DILTIAZEM (CARDIZEM ®) -Â Intravenous (IV) Dilution
turnforthenurse, MSN, NP 3,364 Posts Specializes in ER, progressive care. Has 7 years experience. Dec 17, 2013 Does your hospital have a remote pharmacy for after hours? My hospital recently switched to having a 24 in-house pharmacy but before that we had a number we can call for a remote pharmacy if we had any questions. If we needed to make medications, we would either do it ourselves or our nursing supervisor would have to make it, which is usually the latter.I work in the ED and in our med rooms we have a little cheat sheet with the drug and what to mix it with. Most of them are antibiotics but I have had to make other drips like Dilantin and sometimes it's just easier to make it yourself instead of waiting for pharmacy to do it. I would make a list of the medications you end up having to make the most often and create your own little cheat sheet. Collaborate with your pharmacy. Ours just looks like this (just some examples of meds)ceftriaxone 1gm 50cc NSceftriaxone 2gm 50cc NSZosyn 3.375gm 50cc NSVancocin 1gm 250cc NSProtonix 80mg/100cc NS
Editorial Team / Moderator Lunah, MSN, RN 33 Articles; 13,748 Posts Specializes in EMS, ED, Trauma, CNE, CEN, CPEN, TCRN. Has 15 years experience. Dec 18, 2013 It gets frustrating because the reference they provided us doesn't have every drug we need. Sounds like a good project for someone in your ED -- maybe you? :) I made a quickie drug reference book for the biggies that we use in my ED here in Afghanistan, since I'm the only actual ED nurse and the others may be unfamiliar with some of the meds. It's helpful.
Esme12, ASN, BSN, RN 4 Articles; 20,908 Posts Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma. Has 43 years experience. Dec 18, 2013 Do they subscribe to micromedex or up to date online? They have amazing references. You can get it yourself but it is pricey.Get a good drug book....Porter's Pocket Guide to Emergency and Critical Care
Esme12, ASN, BSN, RN 4 Articles; 20,908 Posts Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma. Has 43 years experience. Dec 18, 2013 Sounds like a good project for someone in your ED -- maybe you? :) I made a quickie drug reference book for the biggies that we use in my ED here in Afghanistan, since I'm the only actual ED nurse and the others may be unfamiliar with some of the meds. It's helpful.I've made many...they are very helpful.
zmansc, ASN, RN 867 Posts Specializes in Emergency. Dec 18, 2013 I use three drug guides: Davis, Medscape, and Epocrates. Davis drug guide app has a section "implementation" which has the dilutent information your asking for. It also has y site compatibility info. Medscape has a section called "administration" which has similar info and their app is free so you might want to start there before buying Davis drug guide app. I find the apps much more convenient than a book as it's always with me and small, but your mileage may vary.... lol
