What is NS NOT compatible with?

I was pondering what normal saline is not compatible with. Thanks.

Specializes in Peds, ER/Trauma.
I wouldn't recommend it.

So in a code situation, what do you recommend flushing the amiodarone with, since the only flushes in a crash cart are NS?

Specializes in Vascular Access.
So in a code situation, what do you recommend flushing the amiodarone with, since the only flushes in a crash cart are NS?

The only flushes in a crash cart may be NSS, but included in that crash cart should be a 250cc bag of D5W. Use this to draw up 3-5cc as a flush and then flush the line using this appropriate solution. This bag should then be wasted/pitched after the code ends.

Specializes in Emergency Room, Cardiology, Medicine.

I've never seen Amiodarone pushed during a code. I don't know if you need a loading dose to start a drip, either. So I'm not sure.

Specializes in Peds, ER/Trauma.
I've never seen Amiodarone pushed during a code. I don't know if you need a loading dose to start a drip, either. So I'm not sure.

Amiodarone IVP is part of the V-Fib/Unstable V-Tach ACLS algorhythm....

I was pondering what normal saline is not compatible with.

The insides of lungs.

Specializes in Spinal Cord injuries, Emergency+EMS.

cyclizine - as it can precipitate

Specializes in ICU, nutrition.

There are a few drugs that have to be reconstituted with water as opposed to NS, but the only one I can think of off the top of my head is Cath Flo (use to declot PICCs).

Usually if something is really incompatible with NS or D5, it's labeled as such.

Specializes in Oncology/Haemetology/HIV.

High Dose Interleukin 2 is given via dextrose lines only.

Specializes in Med-Surg Nursing.

NSS is NOT compatible with Levophed (norepinephrine) and Nipride, at least at my facility anyway.

Specializes in Peds, ER/Trauma.
NSS is NOT compatible with Levophed (norepinephrine) and Nipride, at least at my facility anyway.

I have given both of these as drips connected into a running line of NS with no problems.

I was a hospital IV tech for 3 years and we did mix Sodium Bicarb drips in NS. Even after I double checked the info in the link that I provided above that states NAHCo3 is compatibile with NS, you still made me second guess myself, so I called the pharmacist at the hospital. He confirmed Sodium Bicarb is compatible with normal saline. Maybe it just depends on the facility's policy. Either that or a certain hospital in my neck of the woods is NOT helping a lot of people when they hang their Bicarb drips. :selfbonk:

As a student nurse, we have priviledge to observe so many things that go on that are not "by the book" the thing I have run across several time is non-compatibility where the mix causes no pricipitate or negative effects, but the drug is simply de-activated, due to changes in PH etc - - no "real harm" - however, is the patient receiving any help by our interventions? Isn't a deactivated drug the same as not giving the drug? doesn't dosing meds. in non-compatible solutions constitute a med. error reguardless of outcome??

Uh oh! :o If NaHCO3 is incompatible with NS, then I've been flushing

behind it with the wrong stuff!

The only two that I am aware of have already been mentioned in

previous posts.

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