What meds require a filter?

TPN needs a filter as well

Some of the clotting factors require filters, some facilities require amio to have a filter.

I can give you an example of a condition that absolutely requires that you use an IV filter set. If your patient has a patent foramen ovale...then use a filter for all IV solutions and IV medications...essentially what happens is that your patient is at a higher risk for embolisms...therefore you want to use a filter to catch any air that may be lingering in your IV tubing.

Amiodarone.

On the pediatric floor, any child with a congenital heart defect requires filters for all IV infusions.

At the facility where I used to work, IV Protonix required a filter. Not sure if this is standard practice or just facilty-specific.

does propofol need a filter too?

no, propofol does not need a filter, it will actually clog the filter if you tried it.

According to Baxter, filters can break down propofol.

According to Baxter, filters can break down propofol.

At the facility where I used to work, IV Protonix required a filter. Not sure if this is standard practice or just facilty-specific.

When IV protonix first came out, the manufacturer recommended keeping it refridgerated and using a filter with it. They have since changed that, and the label now says right on there "no filter needed." It also can be stored at room temp now too. I am not sure if they changed the something in the drug to allow the change, or if they were just playing it safe when it first came out.

Our pharmacy policy requires all meds requiring a filter to have labels with a red sticker that state this and the med comes with the correct filter from pharmacy. Perhaps you can suggest this change to your manager, or use this as a great clinical ladder idea if your facility lacks it.

How often do you change the filter for say, mannitol or dilantin?