Jump to content
What’s your favorite allnurses.com feature? Read more... ×

IV meds and dilution

Med-Surg   (1,152 Views 8 Comments)
1 Like; 805 Visitors; 26 Posts
If you find this topic helpful leave a comment.
advertisement

I am returning to med surg after 8 years of another speciality. I am trying to find good resources concerning IV meds that need to be diluted in NS as well as iv compatability. Can anyone shout out meds that need to be diluted or reference a resource page or site? Thanks!

Share this post


Link to post
Share on other sites

A good drug guide has all of this information. Most places also have online drug reference that you can refer to (Lexicomp, etc).

Share this post


Link to post
Share on other sites

I just came back from a nursing convention, and there was a seminar on best practice for IV push meds. The presenter said that it is not necessary or safe to dilute IV meds, unless you are giving lorazepam, levothyroxine, protonix, famotidine or promethaxine. . But obviously you would want to follow your facility policy!

Share this post


Link to post
Share on other sites

Not SAFE? That's weird. What was their rationale for that statement?

Share this post


Link to post
Share on other sites
advertisement

Safety concerns are related to the overall idea that diluting medications at the point of care complicates the process of medication administration, which leads to errors.

The safety concerns almost invariably involve other co-existing nursing errors/unsafe practices, such as not labeling a syringe that has medication in it, for example.

Probably best if I reserve the rest of my comments and you read source of the information:

https://www.ismp.org/sites/default/files/attachments/2017-11/ISMP97-Guidelines-071415-3.%20FINAL.pdf

The document is worth reading in its entirety, but the section most germane to this particular discussion is the section on Acquisition and Distribution of Adult IV Push Medications. ISMP has other statements/publications related to the general topic as well that will come up in a basic search.

Share this post


Link to post
Share on other sites

Thank you for the reply. I'll look it over. I expect to stand by my practice of diluting just prior to administering in order to avoid "losing" the Med in the tubing and especially the connectors, but I am open to learning something new if-IF-they can convince me that my process is flawed.

Share this post


Link to post
Share on other sites
×