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Terms in this set (34)

Direct IV: Diluent: May be administered undiluted. Rate: Administer over at
least 5 min.
● Intermittent Infusion: Diluent: Dilute in D5W, 0.9% NaCl, D5/0.9% NaCl, or
D5/LR. Diluted solution is stable for 24 hr at room temperature.Concentration:
25 mcg/mL. Rate: Administer as a slow infusion over at least 5 min.
● Y-Site Compatibility: acyclovir, alemtuzumab, alfentanil, allopurinol, amifostine, amikacin, aminophylline, amphotericin B lipid complex, amphotericin B liposome, anidulafungin, argatroban, ascorbic acid, atracurium, atropine, azathioprine, azithromycin, aztreonam, benztropine, bivalirudin, bleomycin,
bumetanide, buprenorphine, butorphanol, calcium chloride, calcium gluconate,
carboplatin, carmustine, cefazolin, cefoperazone, cefotaxime, cefotetan, cefoxitin, ceftaroline, ceftazidime, ceftriaxone, cefuroxime, chloramphenicol, chlorpromazine, cisatracurium, cisplatin, cladribine, clindamycin, cyanocobalamin,
cyclophosphamide, cyclosporine, cytarabine, dactinomycin, daptomycin, dexamethasone sodium phosphate, dexmedetomidine, dexrazoxane, digoxin, diltiazem, diphenhydramine, dobutamine, docetaxel, dolasetron, dopamine, doripenem, doxacurium, doxorubicin hydrochloride, doxorubicin liposome,
doxycycline, ephedrine, epinephrine, epirubicin, epoetin, eptifibatide, ertapenem, erythromycin lactobionate, esmolol, etoposide, etoposide phosphate, famotidine, fenoldopam, fentanyl, filgrastim, fluconazole, fludarabine, fluorouracil,
folic acid, foscarnet, furosemide, ganciclovir, gemcitabine, gentamicin, glycopyrrolate, granisetron, heparin, hetastarch, hydrocortisone sodium succinate, hydromorphone, idarubicin, ifosfamide, imipenem/cilastatin, indomethacin, insulin,irinotecan, isoproterenol, ketorolac, labetalol, leucovorin, levofloxacin, lidocaine,
linezolid, lorazepam, magnesium sulfate, mannitol, mechlorethamine, melphalan, meperidine, meropenem, metaraminol, methotrexate, methyldopate,
methylprednisolone sodium succinate, metoclopramide, metoprolol, metronidazole, miconazole, midazolam, milrinone, mitoxantrone, morphine, moxifloxacin,
multiple vitamin infusion, mycophenolate, nafcillin, nalbuphine, naloxone, nicardipine, nitroglycerin, nitroprusside, norepinephrine, octreotide, ondansetron,
oxacillin, oxaliplatin, oxytocin, paclitaxel, palonosetron, pamidronate, pancuronium, papaverine, pemetrexed, penicillin G , pentamidine, pentazocine, pentobarbital, phenobarbital, phentolamine, phenylephrine, phytonadione, piperacillin/tazobactam, potassium acetate, potassium chloride, potassium phosphates,
procainamide, prochlorperazine, promethazine, propofol, propranolol, protamine, pyridoxime, quinupristin/dalfopristin, ranitidine, remifentanil, rituximab,
rocuronium, sodium acetate, sodium bicarbonate, streptokinase, succinylcholine, sufentanil, tacrolimus, teniposide, tetracycline, theophylline, thiamine, thiotepa, ticarcillin/clavulanate, tigecycline, tirofiban, tobramycin, tolazoline, trastuzumab, vancomycin, vasopressin, vecuronium, verapamil, vinblastine,
vincristine, vinorelbine, voriconazole, zoledronic acid
● Y-Site Incompatibility: amphotericin B cholesteryl, amphotericin B colloidal,
caspofungin, cefepime, dantrolene, diazepam, diazoxide, phenytoin.
Emphasize the importance of continuing to take medication as directed at the
same time each day, even if feeling well. Take missed doses as soon as remembered but not if almost time for next dose. Do not double doses. Warn patient not
to discontinue ACE inhibitor therapy unless directed by health care professional.
● Caution patient to avoid salt substitutes containing potassium or foods containing
high levels of potassium or sodium unless directed by health care professional.
● Caution patient to change positions slowly to minimize orthostatic hypotension.
Use of alcohol, standing for long periods, exercising, and hot weather may increase orthostatic hypotension.
● Instruct patient to notify health care professional of all Rx or OTC medications, vitamins, or herbal products being taken and consult health care professional before taking any new medications, especially cough, cold, or allergy remedies.
● May cause dizziness, especially during first few days of therapy. Caution patient to
avoid driving and other activities requiring alertness until response to medication
is known.
● Advise patient to inform health care professional of medication regimen before
treatment or surgery.
● Instruct patient to notify health care professional if rash; mouth sores;
sore throat; fever; swelling of hands or feet; irregular heart beat; chest
pain; dry cough; hoarseness; swelling of face, eyes, lips, or tongue; or if
difficulty swallowing or breathing occurs. Persistent dry cough may occur
and may not subside until medication is discontinued. Consult health care professional if cough becomes bothersome. Also notify health care professional if nausea, vomiting, or diarrhea occurs and continues.
● Advise women of childbearing age to use contraception and notify health care professional of pregnancy is planned or suspected. If pregnancy is detected, discontinue medication as soon as possible.
● Emphasize the importance of follow-up examinations to evaluate effectiveness of
● Hypertension: Encourage patient to comply with additional interventions for hypertension (weight reduction, low sodium diet, discontinuation of smoking, moderation of alcohol consumption, regular exercise, and stress management). Medication controls but does not cure hypertension.
● Instruct patient and family on correct technique for monitoring BP. Advise them to
check BP at least weekly and to report significant changes to health care professional