Vasopressin

[Doge]

So the other day I was clearing out some extra gtts that were hanging in my room and saw a vasopressin that we spiked but never ended up using. So I called pharmacy to see if it was still good since it had been at least 24 hours. I came to find out that per the manufacturers guidelines unused vasopressin should be discarded after 18 hours at room temp. This was crazy to me seeing how our bags are 500 ml and if we ran it at our max it would take 3 days to use a single bag. I've asked basically everyone I work with and none of them were aware of this. So anyway my question is does your unit regularly change vasopressin bags after they have been hanging for 18 hours?

[caresmithccrn, ADN, BSN, RN]

We don't titrate at my facility. Set rate of 0.03 units. I forgot to stipulate "in my facility." And like I said, "in my experience" :-)

[MLB4]

We don't titrate at my facility. Set rate of 0.03 units. I forgot to stipulate "in my facility." And like I said, "in my experience" :-)

Yup! Definitely different depending on where you go :)

[CrazyGoonRN]

Our vaso is mixed by the pharmacy in 50 ml bags. It is never titrated and runs at 0.04 units which is 2.4 ml/hr (I think?). I have never heard of the 18 hour rule.