IV medication filtering

[gtmoore]

Can you guys help me out?

I'm putting together a powerpoint on IV medication administration and safety.

I need to know which medications should never be filtered. I know chemotherapy (except Taxol). I know there are others.

Can anyone think of any other medications that should never be filtered?

Thanks

[Tait, MSN, RN]

I didn't say insulin was the cause of filtering TPN. TPN is filtered whether it has insulin or not.

The OP says that insulin should NEVER be filtered. I'm saying, it is filtered all the time when it's included in TPN.

I just would like to know why insulin should never be filtered, since the OP included in their list.

Sorry I missed her second post about the insulin. Now I get it.

:imbar

Tait

In response to the lipid conversation:

https://allnurses.com/nicu-nursing-forum/filter-not-filter-236371.html

I really think it is just a matter of where you work, and your own protocol. Seems the general consensus is not to filter them, and I can not find anything concrete at the moment stating why you should or should not filter them.

Currently attempting to access the above posters information from ASPEN, but the session to register is going very slow.

Here is a bit from drugs.com about Intralipid 20% which we use in our hospital:

Filters of less than 1.2 micron pore size must not be used with admixtures containing Intralipid® 20%.

http://www.drugs.com/pro/intralipid.html

Now from the Merck site on TPN:

In-line filters have not been shown to decrease complications.

http://www.merck.com/mmpe/sec01/ch003/ch003c.html

My conclusion?

Hospitals view filtering TPN to be important. A lot of hospitals most likely use a filter too small for lipids. Hence, we don't filter the lipids.

Some are like this some are not, but that is about all I can ascertain.

Peace :)