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MELEA

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  1. I had a patient from the OR last week. She was a small woman who had CABG X 4 and a mitral valve repair. She came back with a balloon pump, a right IJ cordis with a Swan, a left subclavian triple lumen catheter, a left femoral venous cordis and two forearm peripheral IVs. She was on dobutamine, milrinone and epi-cal. After some of the central lines had been removed, we were discussing which drugs (if any) we could run in the peripheral IV. This started a BIG discussion about hospital policy, common sense, CCRN policy etc. Does ANYONE know if there are policies or "standards of care" documented about where certain drugs should be infused? Is it a standardized thing or does it vary hospital to hospital? I have come across lots of OPINIONS but nothing in "black-and-white".

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