What meds require a filter?

[Sarah, RNBScN]

The only ones I know of are:

dilantin

mannitol

Are there others that someone can share?

Thanks,

Sarah

[meandragonbrett]

TPN needs a filter as well

[meandragonbrett]

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

[AlbertaBlue]

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.

[VickyRN, MSN, DNP, RN]

Amiodarone.

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

[arizonanurse]

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

[TraumaGirl1018]

does propofol need a filter too?

[oMerMero]

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

[meandragonbrett]

According to Baxter, filters can break down propofol.

[Roy Fokker, BSN, RN]

According to Baxter, filters can break down propofol.

Hmmm, didn't know that

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

Not standard at my facility...

[oMerMero]

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.

[ICU_floater]

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.