Nurses Mixing Meds

[BNKSYRR]

Is it legal for a nurse to mix multiple medications into large volume dialysate? Could this be considered "beyond scope of practice"...we don't mix antibiotics for IV fluids....what is the difference?

[nosonew, BSN, RN]

Is it legal for a nurse to mix multiple medications into large volume dialysate? Could this be considered "beyond scope of practice"...we don't mix antibiotics for IV fluids....what is the difference?

Can you be more specific? What meds are being put in the dialysate?

[BNKSYRR]

Can you be more specific? What meds are being put in the dialysate?

I am talking about KCL, Insulin, Heparin, antibiotics......ANY meds ordered by the physician for PD fluid.

[curlyfries]

I've been on PD before I had my transplant. While on PD I've been trained to administer heparin in the PD fluid if there are fibirins. Those egg whites looking thingy in the PD fluid. In a case of peritonitis antibotics are administered in the PD fluids. However I am not aware of insulin being administered in the PD fluids, anyone can expand on that?

Tommy

I am talking about KCL, Insulin, Heparin, antibiotics......ANY meds ordered by the physician for PD fluid.

[MadisonsMomRN, BSN, RN]

I have put heparin and antibiotics in PD dialysate. I dont know about KCL since (well at least here) it is a high alert med and only the pharmacy can mix anything with KCL. I would not feel comfortable adding KCL.

So...I am not sure.

[nosonew, BSN, RN]

Sorry, don't know hardly anything about PD...only hemo. Sorry!

[mrs/mom/rn]

Hi,

I work on a medical floor and we do pd often. They use to put insulin a long time ago in dialysate, but they do not any more. Besides with Lantus and there is no need. We never put kcl via pd. I would not feel comfortable secondary dwell time and renal pts are usually with high K. I know very little about hemo. patients with peritonitis always get antibiotics via pd. Other infections get antibiotics iv. By the way. I am doing a paper on system of care for renal patients with a focus on coordination between clinics(gambro) and inpatients. Any information on clinic system works and can better communicate with medical floor?

Thanks