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

[Gigglesforall, BSN, RN]

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

[mmutk, BSN, RN, EMT-I]

Our meds that require a filter are:

Taxol

Mannitol

Dilantin

Reopro

Amiodarone

Digibind

Sporanox

Remicade

-mmUTK, RN, EMT-IV

[meandragonbrett]

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

I would change the filter every time I hung a new bag/bottle.

[makingadifference]

I have done a literature search on when a needle filter is needed. Everyone should consider looking it up for Evidence Based Nursing Practice. We are the ones that administer the meds and need to be aware of quality and safe practices. Evidently, every medication that comes in a glass ampule should be filtered. The glass shards can cause all types of inflammatory issues from organ failure to vascular damage. I contacted the schools of pharmacy in my state and found out that pharmacist have been taught to filter anything that is in a glass ampule that they draw up. Nurses need to consider EBP for medication administration. I was surprised that hospital pharmacist have not prompted the use of needle filters. Ask your pharmacist. When TPN is put together, they not only are wiping down the glass with alcohol but they are using a 5 micron needle filter when drawing up the medications to put in the TPN, if they come in glass ampules.