Hello All,
I would appreciate if you can share how IV loading doses of phenytoin are supplied and administered at your institutions (i.e. admixture vs undiluted). Thanks!

Chris

I am curious if other inpatient pharmacies stock sterile water for injection in automated dispensing cabinets to be used for reconstitution?

Our hospital would like to start giving tacrolimus via the SL route for patients unable to swallow the capsule.
Does anyone administer tacrolimus sublingually in their hospital and has a policy or process to share on how it is being administered, respecting that it is listed as a Group 2 hazardous medication on NIOSH's hazardous drug list?

Thank you! Alex

Hello,

Hi Everyone,
We are having multiple issues with air bubbles found in 1.2 micron intralipd filters. we have changed 3 different companies, but still having same issues. Has anyone else experienced this problem, and if there are any solutions?

How do you supply non-commercially available unit doses of meds for inhalation like amikacin - parenteral or sterile oral syringe w/aux label, other?

I believe doses need to be prepared in sterile containers which leaves few options. I am aware of the 2018 ISMP article but this isn't specifically addressed, and there weren't many responses to this in an older MSOS thread but I bet a lot of us deal with this.

Thanks!

Hello,

I am currently updating our Assessment of Risk for USP <800> and was wondering if anyone would be willing to share how they are addressing NIOSH table 2 drugs within the pharmacy (e.g., compounding, delivery). Are you treating all Table 2 medications the same?

Thanks in advance!

How are you managing heparin drips in COVID patients requiring pre- CRRT filter heparin for access issues as well as systemic heparin for acute thrombosis?

Are you converting to pre-filter only, systemic only or managing both separately? If pre-filter heparin, how do you manage communication when CRRT is held temporarily to ensure systemic heparin is continued?

Appreciate input from your experience related to relevant issues and strategies employed.

Thank you!

Will you share your nursing practice or policy related to concentration changes for continuous IV infusions? For example, if a patient is on a 1:1 epinephrine infusion and is being switched to a 4:1 concentration, how does the nurse set that up? I would assume that the new 4:1 concentrated bag is spiked with a new primary set so there isn't mixing of concentrations in the line--but what about the volume left in the catheter of the access site? Do your policies specify what should be done (load with drug, withdrawal previous concentration, etc.)?

Good Morning,

Just want to see if anyone is using any other IV room workflow solutions that are NOT "BD Cato" or "DoseEdge" products.

Thank you for a reply.