Need Refresher with Insulin/Mag/Pit Infusion pump setup

photomom · Apr 3, 2009

I'm guessing your question is are insulin, magnesium sulfate and pitocin compaitble to run into one iv site at the same time? If so, the insulin should not be run with either of the other 2 because compatibility is uncertain. However, the other 2 may be run together-they are compatible. If you are giving these all at the same time, then yes, you do need 2 lines for them. Hope that helps!

mee6 · Apr 3, 2009

Thanks photomom that's what I thought, but couldn't remember and didn't have any specific "policies" about this.

romantic, BSN, RN · Apr 7, 2009

I recently had an insulin depend/preeclamptic pt. (which I haven't had for years) and was disagreeing with cg. in new facility about infusion/setups. She thought all could be setup on one line...Would appreciate how everyone sets these up. I think in my old facility pt had 2 separate main lines. One with insulin only on NS main line. Second line was LR? mainline (possible D5) with Pit and Mag. Any advice would be appreciated...

That's what I found online

"Y-site administration: Compatible: Alatrofloxacin, amiodarone, ampicillin, ampicillin/sulbactam, aztreonam, cefazolin, cefotetan, clarithromycin, dobutamine, esmolol, famotidine, gentamicin, heparin, heparin with hydrocortisone sodium succinate, imipenem/cilastatin, indomethacin, magnesium sulfate, meperidine, meropenem, midazolam, milrinone, morphine, nitroglycerin, oxytocin, pentobarbital, potassium chloride, propofol, ritodrine, sodium bicarbonate, sodium nitroprusside, tacrolimus, terbutaline, ticarcillin, ticarcillin/clavulanate potassium, tobramycin, vancomycin, vitamin B complex with C. Incompatible: Dopamine, nafcillin, norepinephrine, ranitidine. Variable (consult detailed reference): Digoxin, diltiazem, labetalol, levofloxacin, TPN"

website: http://www.umm.edu/altmed/drugs/insulin-preparations-069200.htm

NurseNora, BSN, RN · Apr 9, 2009

I've been taught that insulin always gets it's own site.

photomom · Apr 9, 2009

Anytime you CAN run drips by themselves, it's good practice to do so. However, you don't always have that option and it's important to know what can and can't go together. There are several drugs which can run with insulin, but if you're running 3 drugs together, your likelihood that they're all compatible is decreased and you can expect at least a second line. Then just check your compatibility and you're good to go.