Southern Trust Home IV Service. Guidelines for the administration of IV antibiotics
|
|
- Allison Wells
- 6 years ago
- Views:
Transcription
1 Southern Trust Home IV Service Guidelines for the administration of IV antibiotics Title: Author: CLINICAL GUIDELINES ID TAG Antibiotic guidelines - Southern Trust Home IV service guidelines for the administration of IV antibiotics Mrs A McCorry/ Mrs P Curran Speciality / Division: Directorate: Date Uploaded: Review Date Clinical Guideline ID Pharmacy,, IV/SC Therapy Co-ordinator OPPC February 2019 CG0487
2 DOCUMENT CONTROL Version 3 Authors Ann McCorry, Antimicrobial Pharmacist, Pharmacy Department Craigavon Area Hospital Ext: Revision Date February 2019 Pauline Curran, IV/SC Therapy Co-ordinator, OPPC. Mob:
3 Contents 1. NMC standards for administration 2. Drug information and monitoring 3. Drug reconstitution and administration information
4 NMC STANDARDS FOR Adhere to the NMC Standards for Medicines Management. RCN calculation formulae (RCN Standards for Infusion 2007): Drug Calculation What you want x stock What you ve got Gravity flow Volume in ml x Drops in ml Hours of infusion 60 All intravenous medicines administered should be given independently of each other. To avoid potential drug-drug interactions, no mixing of drugs should occur, including piggybacking on the same intravenous line. Reconstituted solutions should be administered immediately after preparation. They are for single use only and any remaining solution should be disposed of appropriately-refer to individual product literature. Midline catheters offer an alternative to peripheral and central venous access, providing vascular access in a larger peripheral vein without entering central venous circulation. If used for the administration of home IV therapies, please note the following are contra-indicated for administration via a midline catheter: Vesicant medications Total Parenteral Nutrition (TPN) Solutions, medications with ph <5 or >9, and those with osmolarity >600mOsm/l. IV anti-infectives are a critical medicine, where the timeliness of administration is crucial. While all medicines should be administered in a timely manner, every effort must be made to avoid delayed and omitted doses of critical medicines. o An omitted dose is a dose that has not been administered before the next dose is due. o A delayed dose is a dose that is administered more than two hours after the prescribed time and before the next dose is due. IV anti-infectives are a critical medicine, where the timeliness of administration is crucial. While all medicines should be administered in a timely manner, every effort must be made to avoid delayed and omitted doses of critical medicines. o An omitted dose is a dose that has not been administered before the next dose is due. o A delayed dose is a dose that is administered more than two hours after the prescribed time and before the next dose is due. If the patient does not receive a prescribed medicine, for whatever reason, this must be clearly documented on the administration record and this should be highlighted to the relevant medical staff. A comprehensive record of such omissions and the action taken must be made in the patient s nursing notes. An IR1 form via Datix Web must also be completed if the omission or delay was unintentional. All patients must recieve first dose of IV antibiotic therapy within a clinical setting. Alternatively a General Practitioner/ Home IV Co-ordinator can administer the first dose of IV antibiotric therapy within the community setting.
5 DRUG INFORMATION AND MONITORING For full drug information, refer to the most up to date version of the SPC or BNF which will include dosing schedules, interactions, side-effects etc. Side effects of antibiotics are common, including diarrhoea. However, the appearance of marked diarrhea (including bloody diarrhea) should be regarded as an indication that the medicine should be discontinued immediately and reported to the named Consultant. If concerned about any side effect contact the Home IV Co-ordinator or named Consultant on discharge for advice. Hypersensitivity reactions can occur at any time during the treatment course. If this develops, withhold further treatment until medical advice obtained. Patients should be monitored as instructed on discharge, which may include full blood counts, urea and electrolyte profile, liver function tests and CRP and additional drug specific monitoring as advised. If the patient is not improving or deteriorating on the prescribed treatment, contact the Home IV Co-ordinator or named Consultant on discharge for advice. During weekends or out of hours if medical advice id required the district sister can contact the discharging ward, the named Consultant on discharge or their team. If the venous access fails and the district nurse is unable to re-cannulate, the patient should return to the ward for re-cannulation during home IV treatment. The local medicines information department (Craigavon Area Hospital Ext. 2976) and wards that have clinical pharmacy services will provide further information on the drug(s) if required.
6 DRUG RECONSTITUTION AND INFORMATION DRUG NAME RECONSTITUTE WITH PREFERRED ROUTE SUITABILITY FOR MIDLINE DILUTION FOR INFUSION IF REQUIRED DETAILS AMOXICILLIN Each 250mg vial with 5mls water Doses up to 1g IV Bolus No N/A IV Bolus over Each 500mg vial with 10mls water Doses >1g Yes Dilute with 100ml Each 1g vial with 20mls injection AZTREONAM Each 1g or 2g vial with 10mls water IV Bolus No N/A IV Bolus over No 1g: Dilute with 50ml 2g: Dilute with 100ml CEFAZOLIN (note: unlicensed in UK, to be prescribed on microbiology recommendation only) Each 1g with 4mls Up to 1g as IV Bolus >1g as IV Infusion No N/A IV Bolus over No Dilute with 50mls CEFOTAXIME Each 500mg vial with 2mls water Each 1g vial with 4mls injection Each 2g vial with 10mls IV Bolus Yes May be diluted with for administration as per prescribing Hospital Authorisation Yes Dilute with 100mls NaCl 0.9% IV Bolus over CEFTAZIDIME Each 500mg vial with 5mls water Each 1g vial with 10mls injection Each 2g vial with 10mls Branded products: Refer to monograph for reconstitution IV Bolus Yes N/A IV Bolus over Yes Dilute with 100ml Pre and post NaCl flushes required: Cannula: 5mls, Midline/PICC line/portacath: 10mls
7 DRUG NAME RECONSTITUTE WITH PREFERRED ROUTE SUITABILITY FOR MIDLINE DILUTION FOR INFUSION IF REQUIRED DETAILS CEFTRIAXONE Each 1g with 10mls water for Up to 1g as IV Bolus Yes N/A IV Bolus over Each 2g with 40ml 2g as IV Infusion Yes Infuse directly from vial at least 30 minutes CLINDAMYCIN N/A Yes Dilute with : 300mg & 600mg: 50ml 900mg: ml 1200mg: 100ml The concentration should not exceed 18mg in 1ml 300mg over 10 minutes 600mg-900mg over 1.2g over minutes CO-AMOXICLAV Each 600mgs with 10mls Each 1.2g with 20mls water for IV Bolus No N/A IV Bolus over No Each 600mg with 50mls COLISTIN (COLOMYCIN) Each 2 million units dissolved in 10mls water for. Up to 2 million units as IV Bolus (only if via a totally implanted venous access device) Yes N/A IV Bolus over 5 minutes >2 million units as Yes Dilute with 50mls NaCl 0.9% or Glucose 5% DAPTOMYCIN Each 350mgs with 7ml Each 500mgs with 10ml Gently rotate and allow to dissolve for minutes IV Bolus No N/A IV Bolus Over 2 minutes No Dilute with 50mls NaCl ERTAPENEM 1g vial with 10mls water for or sodium chloride 0.9%. Yes Dilute with 50mls NaCl Pre and post NaCl flushes required: Cannula: 5mls, Midline/PICC line/portacath: 10mls
8 DRUG NAME RECONSTITUTE WITH PREFERRED ROUTE SUITABILITY FOR MIDLINE DILUTION FOR INFUSION IF REQUIRED DETAILS GENTAMCIN (ONCE DAILY) Only suitable for home administration if no levels are required N/A No Dilute with 100mls MEROPENEM Each 500mgs with 10mls. Allow solution to become clear before using IV Bolus (500mg-1g) (>1g) Yes N/A IV Bolus over 5 minutes Yes Dilute with 100ml 15- METRONIDAZOLE N/A Ready to use bags: Yes N/A 20 minutes (5ml/min) PIPERACILLIN / TAZOBACTAM (TAZOCIN) Each 2.25g vial with 10mls IV bolus (unlicensed) Yes-only if further diluted For use in midline: Add reconstituted solution to 50mls IV bolus over 5 minutes as per Trust policy Each 4.5g vial with 20mls Yes Dilute with minimum of 50mls Reconstitute as per manufacturer s instructions TEICOPLANIN Make up slowly with the entire contents of the diluent ampoule ( ) provided. Roll gently. Do not shake. Leave to stand for 15 minutes to allow foam to settle before use. IV Bolus Yes May be diluted with. for administration: Up to 10mls if <1g Up to 20mls if 1g Yes Dilute with 100mls IV Bolus over 800mg over 30 minutes >800mg over 60 minutes TIGECYCLINE Each 50mg with 5.3ml NaCl 0.9%. Yes Dilute with 100mls Reconstitute as per manufacturer s instructions Pre and post NaCl flushes required: Cannula: 5mls, Midline/PICC line/portacath: 10mls
9 DRUG NAME RECONSTITUTE WITH PREFERRED ROUTE SUITABILITY FOR MIDLINE DILUTION FOR INFUSION IF REQUIRED DETAILS TOBRAMYCIN (refer to monitoring protocol) Adhere to prescription & administration authorisation as per Regional Respiratory Unit, Belfast City Hospital. N/A IV Bolus No May be diluted for administration as per Regional Respiratory Unit, Belfast City Hospital. Hospira brand: Yes when diluted to 13.33mg/ml with. Dilute with mls IV Bolus Intravenous drugs not included in this table may still be appropriate for home administration dependent on individual patient assessment and suitability. REFERENCES 1. Brownlee, S; Lambert, J; McIlroy, I; Scullion, K; Miller, K; Coleman, A & Smith, E. (eds) (2008) HSC Northern Ireland Intravenous Medicines Administration Guide 2008 (First edition) 2. Medicines Information, Craigavon Area Hospital. Tel medicinesinfo.cah@southerntrust.hscni.net 3. Shulman, R; Drayan, S; Harries,M; Hoare,D & Badcott,S. (eds) (2005) Injectable Drug Administration Guide Blackwell Publishing. UCL Hospitals 4. Electronic Summaries of product Characteristics are available at: 5. Manufacturers package inserts 6. Current BNF appendix 6: Intravenous additives 7. Medusa Injectable Medicines Guide Medicines Complete. Pre and post NaCl flushes required: Cannula: 5mls, Midline/PICC line/portacath: 10mls
concentrate intravenous solution and other strong potassium solutions
Policy for the use of potassium chloride concentrate intravenous solution and other strong potassium solutions CLINICAL GUIDELINES ID TAG Policy for the use of potassium chloride Title: concentrate intravenous
More informationCardiac Catheter Labs Intravenous Drug Therapy Guide
Title of Guideline (must include the word Guideline (not protocol, policy, procedure etc) Contact Name and Job Title (author) Cardiac Catheter Lab IV Medicines Guideline Helen Buxton ( Senior Cath Lab
More informationIV Referral Standards for OPAT Services
pecialist harmacy ervice Medicines Use and afety IV Referral tandards for OAT ervices andra Wolper Associate Director Medicines Use and afety Division pecialist harmacy ervices pecialist harmacy ervice
More informationLRI Children s Hospital
Title: Prescribing in Cystic Fibrosis Page 1 of 10 LRI Children s Hospital Prescribing in Cystic Fibrosis Staff relevant to: Clinical staff working within the UHL Children s Hospital. Team & AWP approval
More informationNeonatal Parenteral Nutrition Guideline Dr M Hogan, Maire Cullen ANNP, Una Toland Ward Manager, Sandra Kilpatrick Neonatal Pharmacist
CLINICAL GUIDELINES ID TAG Title: Author: Designation: Speciality / Division: Directorate: Neonatal Parenteral Nutrition Guideline Dr M Hogan, Maire Cullen ANNP, Una Toland Ward Manager, Sandra Kilpatrick
More informationCHEMOTHERAPY NETWORK GROUP POLICY FOR ADMINISTRATION OF CYTOTOXIC CHEMOTHERAPY
CHEMOTHERAPY NETWORK GROUP POLICY FOR ADMINISTRATION OF CYTOTOXIC CHEMOTHERAPY Version 4.0 March 2016 Review date March 2018 Introduction It is the purpose of this policy to provide clear guidelines that
More informationCLINICAL GUIDELINES ID TAG
Title: Author: Speciality/ Division: Directorate: Date Uploaded: Review Date: September 2019 CG ID TAG CG0423 CLINICAL GUIDELINES ID TAG Clinical Guideline for Alteplase in intra-arterial thrombolysis
More informationIntravenous Fluid and Drug Therapy
11 Intravenous Fluid and Drug Therapy OUTLINE Overview Direct Intravenous Injections Continuous Intravenous Injections Solution Additives Calculating IV Components as Percentages Calculating IV Flow Rates
More informationDRUG: Introduction. `Shared Care Guidelines. They can also be used long term for chronic pulmonary Pseudomonas aeruginosa infection.
`Shared Care Guidelines DRUG: Introduction Inhaled antibiotics (Adults and Paediatrics) in Cystic Fibrosis. EXISTING ESTABLISHED PATIENTS ONLY Colistimethate (Colomycin, Promixin ) Tobramycin (Tobi Bramitob
More informationCommon Infusions for Neonatal Use
Common Infusions for Neonatal Use Document Title and Reference : Common Infusions for Neonatal Use Main Author (s) Dr N B Soni Ratified by: LSC CEG Date Ratified: May 2016 Review Date: May 2018 Version:
More informationNorth Derbyshire OPAT (Outpatient Parenteral Antimicrobial Therapy) Pathway for Primary Care (Step-Up Pathway/Admission Avoidance)
North Derbyshire OPAT (Outpatient Parenteral Antimicrobial Therapy) Pathway for Primary Care (Step-Up Pathway/Admission Avoidance) Introduction OPAT services provide intravenous (IV) antibiotics to patients
More informationAdult Dose. Adults Day 1: 1mg/kg daily Day 2: 2mg/kg daily Day 3 onwards: 3mg/kg daily. Where appropriate consider rounding dose to nearest 50mg.
AMIKACIN All ages>1month: 30mg/kg daily 1.5g once daily IV infusion over 30-60 Monitor renal function before treatment and weekly. Caution if used with other nephrotoxic drugs. Levels required. Trough
More informationChildren & Young People s Directorate Paediatric-Neonatal Guidelines Checklist & Version Control Sheet
1 Children & Young People s Directorate Paediatric-Neonatal Guidelines Checklist & Version Control Sheet 1 Name of Guideline / Policy/ Procedure MANAGEMENT OF ACUTE PAEDIATRIC ASTHMA Purpose of Procedure/
More informationThis letter authorises the extended use of the following guidance until 1st December 2018:
NHS Grampian Westholme Woodend Hospital Queens Road ABERDEEN AB15 6LS NHS Grampian Date 29 1h May 2018 Our Ref FApenicillin/hype/MGPG/May 18 Enquiries to Frances Adamson Extension 56689 Direct Line 01224
More informationNab-Paclitaxel (Abraxane) and Gemcitabine For Pancreatic Adenocarcinoma Cumbria, Northumberland, Tyne & Wear Area Team
DRUG ADMINISTRATION SCHEDULE Day Drug Dose Route Diluent & Rate 1 8 15 Sodium Chloride 0.9% 100ml Infusion Fast Running Dexamethasone 8mg Oral Ondansetron 8mg Oral/ IV Chlorphenamine 10mg Intravenous Slow
More informationArtesunate 60 mg for injection WHOPAR part 3 June 2013 (Guilin Pharmaceutical Co., Ltd.), MA051 PATIENT INFORMATION LEAFLET
PATIENT INFORMATION LEAFLET 1 PATIENT INFORMATION LEAFLET: INFORMATION FOR THE USER Artesun * Artesunate 60 mg for injection and sodium bicarbonate injection 50 mg/ml (1ml) and sodium chloride injection
More informationPATIENT SAFETY ALERT
PATIENT SAFETY ALERT PROBLEM: Research in UK and elsewhere has identified a risk to patients from errors occurring during intravenous administration of potassium solutions. Potassium chloride concentrate
More informationContributes to CQC Outcome number: 9&12 Consulted With Post/Committee/Group Date. Pharmacist. Alison Felton Head of Pharmacy/Deputy Chief.
Prescribing paracetamol in adult inpatients at MEHT Type: Clinical Guideline Register No: 18005 Status: Public on ratification Developed in response to: In line with Basildon Contributes to CQC Outcome
More informationA step-by-step preparation guide
A step-by-step preparation guide For needle and needle-free systems This guide provides detailed instructions on the reconstitution, dilution, and storage of VELETRI. It is intended to be used after your
More informationA step-by-step preparation guide
A step-by-step preparation guide This guide provides detailed instruction on the reconstitution, dilution, and storage of Veletri (epoprostenol) for Injection. It is intended to be used after your healthcare
More informationPACKAGE LEAFLET: INFORMATION FOR THE USER. Cisatracurium 2 mg/ml solution for injection/infusion Cisatracurium 5 mg/ml solution for injection/infusion
PACKAGE LEAFLET: INFORMATION FOR THE USER Cisatracurium 2 mg/ml solution for injection/infusion Cisatracurium 5 mg/ml solution for injection/infusion Cisatracurium Read all of this leaflet carefully before
More informationCLINICAL GUIDELINES ID TAG. Sandra Kilpatrick, Lyn Watt
CLINICAL GUIDELINES ID TAG Title: HIV positive pregnant women- Antiretroviral guidance Authors: Designation: Speciality / Division: Directorate: Sandra Kilpatrick, Lyn Watt Pharmacist Obstetrics- IMWH
More information5 Infections. To be used in conjunction with NICE guidance, The British National Formulary for adults and/or children and
5 Infections To be used in conjunction with NICE guidance, The British National Formulary for adults and/or children and Southend University Hospital, Antibiotic Guidelines Index 5.1 Antibacterial drugs
More informationTrust Protocol for the Administration of Intravenous Methylprednisolone for Thyroid Eye Disease A Protocol. The Clinical Investigation Unit (CIU)
A Protocol For Use in: By: For: Division responsible for document: Key words: Name of document author: Job title of document author: Name and job title of document author s Line Manager: Supported by:
More informationADVANCE PREPARATION OF INSULIN FOR PATIENTS TO ADMINISTER AT HOME
STANDARD OPERATING PROCEDURE ADVANCE PREPARATION OF INSULIN FOR PATIENTS TO ADMINISTER AT HOME First Issued July 08 Issue Version Two Purpose of Issue/Description of Change Planned Review Date To promote
More informationGuideline for the Management of Continuous IV Vancomycin Infusion in Neonates on NICU A Clinical Guideline recommended for use
Guideline for the Management of Continuous IV Vancomycin Infusion in A Clinical Guideline recommended for use For Use in: By: For: Division responsible for document: Key words: Name and job title of document
More informationMedication Safety. Patient Safety. Setting Direction Julie Simmons, Medication Safety Pharmacist January 2016
Medication Safety Patient Safety Setting Direction Julie Simmons, Medication Safety Pharmacist January 2016 1 The patient journey Admission Ward Transfer Ward stay Discharge Medication storage and supply
More informationPACKAGE LEAFLET: INFORMATION FOR THE USER. Cisatracurium 2 mg/ml Solution for Injection/Infusion Cisatracurium 5 mg/ml Solution for Injection/Infusion
PACKAGE LEAFLET: INFORMATION FOR THE USER Cisatracurium 2 mg/ml Solution for Injection/Infusion Cisatracurium 5 mg/ml Solution for Injection/Infusion Cisatracurium Read all of this leaflet carefully before
More informationNECN CHEMOTHERAPY HANDBOOK PROTOCOL
DRUG ADMINISTRATION SCHEDULE Day Drug Dose Route Diluent Rate 1* to 5 Prednisolone 40mg/m 2 Oral Once Daily For 5 days 1 Paracetamol 1gram Oral Once Only Chlorphenamine 10mg IV bolus Ondansetron 8mg IV
More informationRECONSTITUTION, DOSING AND ADMINISTRATION
Prescribing Information can be found within this document CORRECT RECONSTITUTION FOR SC AND IV ADMINISTRATION VELCADE (bortezomib) 3.5 mg powder for solution for injection is available for intravenous
More informationOrchestrated Efforts to Optimize Antibiotic Prescriptions in a Medical Department
Orchestrated Efforts to Optimize Antibiotic Prescriptions in a Medical Department Dr. Eugene Tso Division of Infectious Diseases Department of Medicine & Geriatrics United Christian Hospital 11 May 2010
More informationPACKAGE LEAFLET: INFORMATION FOR THE USER
PACKAGE LEAFLET: INFORMATION FOR THE USER Ceftazidime 500 mg powder for solution for injection Ceftazidime 1 g powder for solution for injection/infusion Ceftazidime 2 g powder for solution for injection/infusion
More informationDocument Details Patient Group Direction Hepatitis A vaccine (Havrix Monodose ) Trust Ref No Local Ref (optional) Main points the
Document Details Title Patient Group Direction Hepatitis A vaccine (Havrix Monodose ) Trust Ref No 1506-41174 Local Ref (optional) Main points the Active immunisation against infection caused by Hepatitis
More informationIV drug preparation guidelines. Prepared by pharmacist Eman Elayeh
IV drug preparation guidelines Prepared by pharmacist Eman Elayeh Injectable drugs guide The monographs in this book detail appropriate methods of administration for medicines that can be given via the
More informationPackage leaflet: Information for the user
Package leaflet: Information for the user Cisatracurium 2 mg/ml Solution for injection/ infusion Cisatracurium 5 mg/ml Solution for injection/ infusion Cisatracurium The name of your medicine are Cisatracurium
More informationStep-by-step instructions for intravenous (iv) infusions for patients with:
Step-by-step instructions for intravenous (iv) infusions for patients with: Rheumatoid Arthritis (RA) Systemic Juvenile Idiopathic Arthritis (sjia) Polyarticular Juvenile Idiopathic Arthritis (pjia) Please
More informationPackage leaflet: Information for the patient. NEGABAN 1g, powder for solution for injection or infusion Temocillin
Package leaflet: Information for the patient NEGABAN 1g, powder for solution for injection or infusion Temocillin Read all of this leaflet carefully before you start using this medicine because it contains
More informationCONTROLLED DOCUMENT. Guidelines for the use of subcutaneous hydration in palliative care (hypodermoclysis) Controlled Document Number: CG259
Guidelines for the use of subcutaneous hydration in palliative care (hypodermoclysis) CONTROLLED DOCUMENT CATEGORY: CLASSIFICATION: Controlled Document Number: Version Number: 1 Controlled Document Sponsor:
More informationGuidance for the Use of Subcutaneous Furosemide by Continuous Infusion for Heart Failure in Community Settings
Guidance for the Use of Subcutaneous Furosemide by Continuous Infusion for Heart Failure in Community Settings NHS Highland Authorised by: Planning For Fairness: Yes/No (Formerly EQIA) Distribution Consultant
More informationPACKAGE LEAFLET: INFORMATION FOR THE USER. Glucose Intravenous Infusion BP 10% w/v solution for infusion Glucose (as glucose monohydrate)
PACKAGE LEAFLET: INFORMATION FOR THE USER Glucose Intravenous Infusion BP 10% w/v solution for infusion Glucose (as glucose monohydrate) Read all of this leaflet carefully before you start using this medicine
More informationPaediatric Prescribing Pocket Guide September 2014 (Version 1)
PAGE 1 Paediatric Prescribing Pocket Guide September 2014 (Version 1) In children, the risk of medication errors is often exacerbated by the need for calculations to determine the dose. Prescribing errors
More informationSAMPLE. This direction was authorised on 4/5/2007. The direction will be reviewed by 4/5/2009
Patient Group Direction for the Supply and Administration of Flumazenil 100microgram Injection To Patients requiring reversal of oversedation due to midazolam in association withendoscopy attending Endoscopy
More informationManagement of Catheter Related Bloodstream Infection (CRBSI), including Antibiotic Lock Therapy.
Management of Catheter Related Bloodstream Infection (CRBSI), including Antibiotic Lock Therapy. Written by: Dr K Gajee, Consultant Microbiologist Date: June 2017 Approved by: Drugs & Therapeutics Committee
More informationPackage leaflet: Information for the user Zinforo 600 mg powder for concentrate for solution for infusion Ceftaroline fosamil
Package leaflet: Information for the user Zinforo 600 mg powder for concentrate for solution for infusion Ceftaroline fosamil Read all of this leaflet carefully before you start using this medicine because
More informationDR J HARTY / DR CM RITCHIE / DR M GIBBONS
CLINICAL GUIDELINES ID TAG Title: Author: Speciality / Division: Directorate: Paracetamol Poisoning DR J HARTY / DR CM RITCHIE / DR M GIBBONS Medicine Acute Date Uploaded: 16 th September 2014 Review Date
More informationGuidelines for the use of Nebulised Colistemethate Sodium (Colomycin) Injection () in Pseudomonas aeruginosa Lung Infections in Adults
Index No: MMG41 Guidelines for the use of Nebulised Colistemethate Sodium (Colomycin) Injection () in Pseudomonas Version: 2 Date ratified: November 2017 Ratified by: (Name of Committee) Name of originator/author,
More informationINTRAVENOUS THERAPY INSTRUCTIONAL PACKAGE
INTRAVENOUS THERAPY INSTRUCTIONAL PACKAGE WORKBOOK FOR THE CALCULATION OF FLOW RATES AND MEDICATION DOSAGES January 2014 WORKBOOK C O N T E N T S Page Professional Responsibilities 3 Methods for flowrate
More informationGood practice for drug calculations
Good practice for drug calculations A step-by-step guide for nurses, doctors and all other healthcare professionals Pharmacyservices 7048 Drug Cal Guide A6 Update_AW.indd 1 22/07/2014 09:55 2 Contents
More informationHerceptin SC (Subcutaneous Trastuzumab)
DRUG ADMINISTRATION SCHEDULE Day Drug Dose Route Rate 1 Herceptin SC (trastuzumab) 600mg S/C 2 to 5 mins *PRECAUTION: In order to reduce the risk of medication errors it is recommended that all trastuzumab
More informationBortezomib, Thalidomide & Dexamethasone
DRUG ADMINISTRATION SCHEDULE Cumbria, Northumberland, Tyne & Wear Area Team Day Drug Dose Route Diluent Rate 1, 4, 8, & 11 2 Bortezomib 1.3mg/m IV bolus/ SC injection* None Fast bolus: 3 to 5 seconds 1
More informationControlled Document Number: Version Number: 1. Controlled Document Sponsor: Controlled Document Lead (Author): On: July Review Date: July 2020
Guidelines for the Use of Naloxone in Palliative Care in Adult Patients CONTROLLED DOCUMENT CATEGORY: CLASSIFICATION: Controlled Document Number: Version Number: 1 Controlled Document Sponsor: Controlled
More informationDextrose 5 normal saline and metronidazole compatible
Search Dextrose 5 normal saline and metronidazole compatible Flagyl compatible with dextrose. Dextrose 5 %. Metronidazole.. Free download as. 6% in D5W or normal saline Compatible in water not NS 1 2 2
More informationPACKAGE LEAFLET: INFORMATION FOR THE USER. Vancomycin Mylan 1000 mg, powder for concentrate for solution for infusion. Vancomycin
PACKAGE LEAFLET: INFORMATION FOR THE USER Vancomycin Mylan 500 mg, powder for concentrate for solution for infusion Vancomycin Mylan 1000 mg, powder for concentrate for solution for infusion Vancomycin
More informationNebulised (inhaled) Colistin (Colomycin )
Newcastle Bronchiectasis Service Cardiothoracic Directorate Nebulised (inhaled) Colistin (Colomycin ) Your doctor has prescribed a drug called Colistin (or Colomycin ) for you. This is an inhaled drug,
More informationDocument Details. Patient Group Direction
Document Details Title Patient Group Direction (PGD) Hepatitis B Vaccine (Engerix ) Trust Ref No 1505-41182 Local Ref (optional) Main points the Immunisation against Hepatitis B document covers Who is
More informationChapter 64 Administration of Injectable Medications
Chapter 64 Administration of Injectable Medications Injectable Medications Injection or intravenous (IV) infusion More invasive than administration by mouth, rectum, or through the skin Common methods
More informationPACKAGE LEAFLET: INFORMATION FOR THE USER. Active substance: enoximone
PACKAGE LEAFLET 1 PACKAGE LEAFLET: INFORMATION FOR THE USER Perfan Injection 100 mg/20 ml Concentrate for Solution for Injection Active substance: enoximone Read all of this leaflet carefully before you
More informationPreterm Labour and Tocolysis
Title: CLINICAL GUIDELINES ID TAG Preterm Labour and Tocolysis Authors: Designation: Speciality / Division: Directorate: Dr L Bell, Dr K Price, Dr G McKeown, Mr D Sim Trainee, Trainee, CAH Consultant,
More informationIndex No: MMG11/1. Version: 1. Date ratified: 12 th November 2013
Index No: Intravenous fluid prescription in children For previously well children aged one month to 16 years (excluding renal, cardiac, diabetic ketoacidosis and acute burns patients) Version: 1 Date ratified:
More informationPOLICY FOR THE SAFE USE OF ORAL METHOTREXATE IN SECONDARY CARE. September 2011
POLICY FOR THE SAFE USE OF ORAL METHOTREXATE IN SECONDARY CARE September 2011 WHSCT Policy for the safe use of oral methotrexate in secondary care Page 1 of 8 Policy Title Policy for the safe use of oral
More information48 th Annual Meeting. A Review of Pharmacy Calculations for Pharmacy Technicians. Metric System of Measurement. Disclosure. Common Conversions
48 th Annual Meeting A Review of Pharmacy Calculations for Pharmacy Technicians Nina Pavuluri, Ph.D. Navigating the Oceans of Opportunity Metric System of Measurement Base Unit Factor Name Symbol 1 (g,
More informationNEWBORN EMERGENCY TRANSPORT SERVICE MEDICAL GUIDELINES
WOMEN AND NEWBORN HEALTH SERVICE King Edward Memorial Hospital NEWBORN EMERGENCY TRANSPORT SERVICE MEDICAL GUIDELINES Transport Medication List Title of policy: Transport Medication List Date Revised:
More informationClarity around the new editions of the BNF Publications
Clarity around the new editions of the BNF Publications UKMi, the Neonatal and Paediatrics Pharmacy Group (NPPG) and the BNF are aware of a number of discussions and email threads discussing BNF for Children
More informationProcedure/ Care Plan for Domiciliary Care Workers/ Support Workers Instillation of Ear Drops (Adult)
Procedure/ Care Plan for Domiciliary Care Workers/ Support Workers Instillation of Ear Drops (Adult) CLINICAL GUIDELINES ID TAG Medicines Management Specific Title: Procedure: Instillation of ear drops
More informationSeptember 2014 V0.17. Paediatric Daily Fluid Prescription & Balance Chart
September 14 V0.17 Aims and outcomes of session. Aim: To provide guidance on correctly completing the paediatric daily fluid prescription & balance chart. Outcomes: Demonstrate the ability to: calculate
More informationPackage leaflet: Information for the user. Portrazza 800 mg concentrate for solution for infusion necitumumab
Package leaflet: Information for the user Portrazza 800 mg concentrate for solution for infusion necitumumab This medicine is subject to additional monitoring. This will allow quick identification of new
More informationPHARMACY SERVICE ARRANGEMENTS FOR THE SUPPLY OF PALLIATIVE CARE SYRINGES AND MEDICINES FOR COMMUNITY PATIENTS
PHARMACY SERVICE ARRANGEMENTS FOR THE SUPPLY OF PALLIATIVE CARE SYRINGES AND MEDICINES FOR COMMUNITY PATIENTS The benefits of prefilled syringes for palliative care from the hospital pharmacy service In
More informationPackage leaflet: Information for the user. Tygacil 50 mg powder for solution for infusion Tigecycline
Package leaflet: Information for the user Tygacil 50 mg powder for solution for infusion Tigecycline Read all of this leaflet carefully before you are given this medicine because it contains important
More informationInhaled Therapy - for further information, see LTHT Nebuliser Guidelines for Adults or Children
Inhaled Therapy - for further information, see LTHT Nebuliser Guidelines for Adults or Children Link to: Adult Nebuliser Guidelines Link to: Paediatric Nebuliser Guidelines and Monographs ANTIBIOTICS/
More informationAppendix 3 PCC Warfarin Reversal
Appendix 3 PCC Warfarin Reversal Reversal of Warfarin and Analogues 1. Principle of Procedure Guidelines for the Reversal of Oral-anticoagulation in the Event of Life Threatening Haemorrhage Prothrombin
More informationPACKAGE LEAFLET: INFORMATION FOR THE USER. Zoledronic Acid IBIGEN 4 mg powder and solvent for solution for infusion Zoledronic acid
PACKAGE LEAFLET: INFORMATION FOR THE USER Zoledronic Acid IBIGEN 4 mg powder and solvent for solution for infusion Zoledronic acid Read all of this leaflet carefully before you are given Zoledronic Acid
More informationTrust Guideline for the Use of Parenteral Vancomycin and Teicoplanin in Adults
A clinical guideline recommended for use: In: By: For: Division responsible for document: Key words: Names of document authors: Job titles of document authors: Name of document author s Line Manager: Job
More informationCLINICAL GUIDELINES ID TAG
CLINICAL GUIDELINES ID TAG Title: Treatment of Hypomagnesaemia in adults Author: Speciality / Division: Directorate: Dr Peter Sharpe, Dr Neal Morgan, Jillian Redpath Chemical Pathology/Nephrology/Pharmacy
More informationReducing the risk from medication errors with IV Magnesium Sulfate
Reducing the risk from medication errors with IV Magnesium Sulfate This bulletin has been developed by Wessex Academic Health Science Network on behalf of the Chief Pharmacists in the Wessex and Thames
More informationAcknowledgements. Reducing the risk from medication errors with IV Magnesium Sulfate
Acknowledgements Clare Howard Clinical Lead, Medicines Optimisation Programme Wessex AHSN Alison Ashman Pharmacy Procurement Service Carina Livingstone Associate Director, Medicines Use and Safety, NHS
More informationPHARMACY DOSING AND ORDERING GUIDE
PHARMACY DOSING AND ORDERING GUIDE FIRST AND ONLY APPROVED TREATMENT FOR PATIENTS WITH VOD WITH RENAL OR PULMONARY DYSFUNCTION POST HSCT VOD=veno-occlusive disease Indication Defitelio (defibrotide sodium)
More informationINTRAVENOUS VANCOMYCIN PRESCRIBING AND MONITORING GUIDELINE FOR ADULT PATIENTS
Title of guideline (must include the word Guideline (not protocol, policy, procedure etc) INTRAVENOUS VANCOMYCIN PRESCRIBING AND MONITORING GUIDELINE FOR ADULT PATIENTS Author: Contact Name and Job Title
More informationIV Fluids. Nursing B23. Objectives. Serum Osmolality
IV Fluids Nursing B23 Objectives Discuss the purpose of IV Discuss nursing interventions in IV therapy Identify complications of IV therapy Differentiate between peripheral line, central line, and PICC
More informationPROCEDURE REF NO SABP/EXECUTIVE BOARD/0017
PROCEDURE REF NO SABP/EXECUTIVE BOARD/0017 NAME OF PROCEDURE: Medicines Procedure: Patient Group Directions for the Administration of Hepatitis B Vaccine for SABP Drug and Alcohol Teams. PURPOSE OF PROCEDURE:
More informationArtesunate 60 mg for injection WHOPAR part 3 November 2015 (Guilin Pharmaceutical Co., Ltd.), MA051 PATIENT INFORMATION LEAFLET
PATIENT INFORMATION LEAFLET 1 PATIENT INFORMATION LEAFLET: INFORMATION FOR THE USER Artesun 60mg * Artesunate 60 mg for injection and sodium bicarbonate injection 50 mg/ml (1ml) and sodium chloride injection
More informationAlgorithms for Symptom Management. In End of Life Care
Algorithms for Symptom Management In End of Life Care The Use of Drugs Beyond Licence (off label) -The Medicines and Healthcare Products Regulatory Agency (MHRA) in the UK regulates the activity of the
More informationSPAGG. Coversheet for Specialist Palliative Audit and Guideline Group Agreed Documentation
SPAGG Coversheet for Specialist Palliative Audit and Guideline Group Agreed Documentation This sheet is to accompany all documentation agreed by SPAGG. This will assist maintenance of the guidelines as
More informationv.1.0 Date: December 2015 Cathy Riley - Director of Pharmacy Policy and Procedures Committee Policy and Procedures Committee
Clinical Preparation and administration of Controlled Drugs against a prescription SOP Document Control Summary Status: Replacement Controlled Drug Policy Version: Author/Owner/Title: Approved by: Ratified:
More informationAntimicrobial Guidelines for the Empirical Management of Diabetic Foot Infections
Antimicrobial Guidelines for the Empirical Management of Diabetic Foot Infections Version 7.2 PAGL Inclusion Approved at January 2017 PGC APPROVED BY: TRUST REFERENCE: B3/2017 AWP REF: UHL Policies and
More informationPATIENT / USER INFORMATION LEAFLET. Cinryze 500 Units powder and solvent for solution for injection C1 inhibitor (human)
PATIENT / USER INFORMATION LEAFLET Cinryze 500 Units powder and solvent for solution for injection C1 inhibitor (human) Read all of this leaflet carefully before you start taking this medicine. Keep this
More informationTitle The Prescription of Adult Inpatient Parenteral Nutrition (PN) Guideline. Author s job title Consultant Gastroenterologist Directorate Medicine
Document Control Title The Prescription of Adult Inpatient Parenteral Nutrition (PN) Guideline Author Author s job title Consultant Gastroenterologist Directorate Medicine Department Medicine Version Date
More informationTrust Guideline for the Management of: Condition or Procedure in Adults and / or Children
Trust Guideline for the Management of: Condition or Procedure in Adults and / or Children A clinical guideline recommended For use in: By: For: Division responsible for document: Key words: Name of document
More informationANNEX III LABELLING AND PACKAGE LEAFLET
ANNEX III LABELLING AND PACKAGE LEAFLET 1 B. PACKAGE LEAFLET 2 PACKAGE LEAFLET Read all of this leaflet carefully before you start taking this medicine. - Keep this leaflet. You may need to read it again.
More informationArtesunate 60 mg for injection WHOPAR part 5 June 2013 (Guilin Pharmaceutical Co., Ltd.), MA051 LABELLING
LABELLING 1 PARTICULARS TO APPEAR ON THE OUTER PACKAGING Carton (pack of 1 vial and 2 ampoules) 1. NAME OF THE MEDICINAL PRODUCT Artesun * 2. STATEMENT OF ACTIVE SUBSTANCE Each vial contains 60 mg artesunate
More informationUNIVERSITY OF BOLTON SCHOOL OF HEALTH AND HUMAN SCIENCES BSC (HONS) PRE-REGISTRATION NURSING EDUCATION (ADULT) SEMESTER ONE EXAMINATION 2016/17
LJW3 UNIVERSITY OF BOLTON SCHOOL OF HEALTH AND HUMAN SCIENCES BSC (HONS) PRE-REGISTRATION NURSING EDUCATION (ADULT) SEMESTER ONE EXAMINATION 2016/17 FOUNDATIONS OF MEDICINES MANAGEMENT MODULE CODE: HLT4085
More informationAll Sites IV THERAPY GUIDELINES VIA PERIPHERAL VASCULAR DEVICES FOR ADULTS IN A COMMUNITY SETTING/HOSPITAL. Vicky Preece.
Trust Guideline All Sites IV THERAPY GUIDELINES VIA PERIPHERAL VASCULAR DEVICES FOR ADULTS IN A COMMUNITY SETTING/HOSPITAL Lead Clinician (s) Vicky Preece Jill Doyle Associate Director of Nursing IV Therapy
More informationTrust Guideline. for Ciclosporin Treatment & Monitoring for Adult* Patients with Acute, Severe Ulcerative Colitis. (*ie aged 16 years and over)
Trust Guideline for Ciclosporin Treatment & Monitoring for Adult* Patients with Acute, Severe Ulcerative Colitis (*ie aged 16 years and over) abc A guideline recommended for use In: Gastroenterology/Medical
More informationBEVACIZUMAB (AVASTIN ) & Paclitaxel PROTOCOL
Bevacizumab (Avastin ) & Paclitaxel The treatment of Advanced Breast Cancer DRUG ADMINISTRATION Da Drug Daily Dose Route Diluent & Rate y 250mls Sodium Day 1,15 Bevacizumab 10 mg/kg Infusion Chloride 0.9%*
More informationClinician Responsible for Training and Review: Emergency Department Consultant
Patient Group Direction for the supply and/or administration of Paracetamol Oral Suspension 250mg/5ml (Paracetamol paediatric suspension) to children receiving treatment from NHS Borders services. This
More informationEducation for self administration of intravenous therapy HOME IV THERAPY. 30 minute - Baxter Pump Tobramycin
HOME IV THERAPY Tobramycin Tobramycin Check the order on the drug chart This can change when the results from your blood test come through. Your doctor will change the order, if required. A copy of the
More informationPackage leaflet: Information for the patient. Vyxeos 44 mg/100 mg powder for concentrate for solution for infusion daunorubicin and cytarabine
Package leaflet: Information for the patient Vyxeos 44 mg/100 mg powder for concentrate for solution for infusion daunorubicin and cytarabine Read all of this leaflet carefully before you start taking
More informationRatios and Proportions. Calculations for Pharmacy Technicians 9/21/2017. Presented by: Antonia Kraljevic PGY2 Pharmacy Practice Resident
Calculations for Pharmacy Technicians Presented by: Antonia Kraljevic PGY2 Pharmacy Practice Resident The speaker has no actual or potential conflict of interest in relation to this presentation. Pharmacy
More informationDecember 3, 2015 Severe Sepsis and Septic Shock Antibiotic Guide
Severe Sepsis and Septic Shock Antibiotic Guide Surviving Sepsis: The choice of empirical antimicrobial therapy depends on complex issues related to the patient s history, including drug intolerances,
More informationTuberculin PPD 100,000 units in 1 ml for Heaf Testing continues to be available.
abcdefghijklm Health Department St Andrew s House Regent Road Edinburgh EH1 3DG To: Immunisation Co-ordinators Scottish Specialists in Pharmaceutical Public Health Association of Scottish Trust Chief Pharmacists
More information