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Iv Drug Compatibility PDF
Iv Drug Compatibility PDF
COM
Compatibility of
Commonly Used
Intravenous
Drugs
A
ll
rig
Co
ht
py
s
rig ed.
re
ht
se
cM
od
uc
ah in w
tio
on
T
n
he number of available IV
Pu
bl
hi
un ou
rt
le
ss
ot
to be administered concurrently.
he
tp
rw
er
is
m
e
is
no
si
on
te
d.
is
pr
oh
These factors contribute to the escalating complex- medication is combined or added to an IV fluid. It is
ib
ity of IV drug administration and have resulted in an important to recognize that compatibility is not just
ite
ever-increasing number of possible incompatibilities. a function of the drugs themselves, but also can be
d.
The potential for serious and life-threatening adverse dependent on a variety of factors including the concen-
drug events exists when incompatible medications are tration, temperature, storage vehicle, infusion solution,
infused together. Therefore, it is important to verify drug order of mixing, and administration technique. Compat-
compatibility prior to coadministration. A clear and con- ibility differences even have been reported for different
cise compatibility chart can be a useful tool in helping to brands of the same drug.
deliver safe, high-quality IV therapy to patients. Three types of incompatibilities are commonly dis-
A chance of incompatibility exists whenever any cussed: physical, chemical, and therapeutic. Physical
Text continues on page 6
I N D E P E N D E N T LY D E V E L O P E D B Y M C M A H O N P U B L I S H I N G P H A R M AC Y P R AC T I C E N E WS • S E P T E M B E R 2 0 1 1
1
Table. Compatibility of Selected IV Drugs (continued)
Ampicillin-sulbactam
Dextrose 5% in water
Calcium gluconate
Diphenhydramine
Dexamethasone
Esomeprazole
Anidulafungin
Azithromycin
Ciprofloxacin
Caspofungin
Amiodarone
Dobutamine
Clindamycin
Fluconazole
Epinephrine
Ceftazidime
Bumetanide
Daptomycin
Doxycycline
Ceftizoxime
Eptifibatide
Furosemide
Ceftriaxone
Argatroban
Cefotaxime
Gentamicin
Famotidine
Doripenem
Ceftaroline
Aztreonam
Enalaprilat
Bivalirudin
Dopamine
Ampicillin
Diazepam
Cefepime
Diltiazem
Cefazolin
Acyclovir
Amikacin
Cefoxitin
Fentanyl
Esmolol
A
Acyclovir C N C I C C N I C C C N C I C C C C C C I C I C C I N N I I C C C I I I N C C C C N
ll
Amikacin C C N N C N I C C C C C C H C C C C C C C C C C C I C C C C C C C C C C N C C C C C
rig
Co
Amiodarone N C N I C I N N I C C C N N N N C I C C C C C N N N C N C C C C N C N C N C C C N C
ht
py
Ampicillin C N N N C N N N C N N I N N N N N N I N N S C N I I N I I I N I N N C N N N N I S I
s
Ampicillin-sulbactam I N I N C N N N C N N I N C I I N N N N I N C N A I N N I N N I N N C N N N N N N N
rig ed.
re
Anidulafungin C C C C C C C C C C C C C C C C N C C C C C N C C I C C C C C C C C C C N C C C C C
ht
se
Argatroban C N I N N C N N C N N N N N N N N N N N N N C N C N C C C C N N N N C N N N C N C N
rv
Azithromycin N I N N N C N I C N N N N N I N C I N I I I C N C N N C N N C N N N C N N I I N I I
20
Aztreonam I C N N N C N I C C C C C C C C N C C C C C C C C I C N C C N C C C C C N C C C C C
C C I C C C C C C C C I C C C C N C C C C C C C C I C C N C N C C C C C N C C C C C
11
Bivalirudin
Re
Bumetanide C C C N N C N N C C C C C C C C C C C C N C C C C I C C N C C C C C C C N C C C C C
M
pr
Calcium gluconate C C C N N C N N C C C C C C C C C C C I A C C I C I C C N C C C C C C C N C C N C C
cM
od
Caspofungin N C C I I C N N C I C C I I I I I I C I C I C I N I C C C C C C I C N C N C C C I C
uc
ah in w
Cefazolin C C N N N C N N C C C C I N I C N C C C N C C C C I C I I I N I C C C C N N C C C N
tio
I H N N C C N N C C C C I N N N N N N N I C C C C I I I N N N N I N C N N I N C C N
on
Cefepime
Cefotaxime C C N N I C N I C C C C I I N C N I I C N C C C C I C I N C N C C C C C N C C N C N
n
Pu
Cefoxitin C C N N I C N N C C C C I C N C N C I C N C C C C I C I I C N I C C C C N N C C C C
bl
Ceftaroline C C C N N N N C N N C C I N N N N N N N C C N C C I C C N C C N C N N N C C C C C C
is
Ceftazidime C C I N N C N I C C C C I C N I C N C C C C C C C I C I N C N I C C C C N C C N C N
ho
hi
Ceftizoxime C C C I N C N N C C C C C C N I I N C C N C C C C I C C N C N I C C C C N N C C C C
ng
le
Ceftriaxone C C C N N C N I C C C I I C N C C N C C N I C C C I C I I C N C C C C C N N C N C N
or
Ciprofloxacin I C C N I C N I C C N A C N I N N C C N N I C I C N C C C C C N N N C N N N N C I C
ro
in
Clindamycin C C C S N C N I C C C C I C C C C C C C I I C C C I C C N C N C C C C C N C C N C C
up
Daptomycin I C C C C N C C C C C C C C C C C N C C C C C C I C C C C C C C C C C C N C C C C C
pa
Dexamethasone C C N N N C N N C C C I I C C C C C C C C I C C C I C I I C C I C C C I N C C C C I
un ou
rt
D5W C C N I A C C C C C C C N C C C C C C C C C C I C N C C C C C C C C C C C C C C C C
w
le
Diazepam I I N I I I N N I I I I I I I I I I I I I N I C I N I I N I I I I I I I N I N I I I
ith
ss
Diltiazem N C C N N C C N C C C C C C I C C C C C C C C C C C I C C C C C C C C C N C C C I C
ot
Diphenhydramine N C N I N C C C N C C C C I I I I C I C I C C C I C I C C C C C C C C C N C C C I C
he
tp
Dobutamine I C C I I C C N C N N N C I N N I N N N I C N C I C N C C C C C C C C C N C C C I C
rw
Dopamine I C C I N C C N C C C C C I N C C C C C C C C C C C I C C C C C C C N C N C C C N C
er
Doripenem C C C N N C N C N N C C C N N N N C N N N C N C C C I C C C C N C N N C C C C C C C
is
m
Doxycycline C C C I I C N N C C C C C I N C I N I I C N C C I C I C C C C N C C C C N C C C I C
is
no
si
Enalaprilat C C N N N C N N C C C C I C I C C C C C C N C C C C I C C C C C C C C C N C C C C C
on
te
Epinephrine I C C N N C N N C C C C C C N C C N C C C N C C C C I C C C C N C C C C N C C C C C
d.
Eptifibatide I C N C C C C C C C C C N C C C C N C C C C C C C C I C C C N N C C C C N C C C I C
is
Esmolol I C C N N C N N C C C C C C N C C N C C C N C C I C I C C C C C C C C C N C C C I C
pr
Esomeprazole N N N N N N N N N N N N N N N N N C N N N N N N N C N N N N N C N N N N N N N N N N
oh
Famotidine C C C N N C N I C C C C C N I C N C C N N N C C C C I C C C C C C C C C C N C C N C
ib
Fentanyl C C C N N C C I C C C C C C N C C C C C C N C C C C N C C C C C C C C C C N C C C C
ite
a
Protect from light. b Testing was performed with ethylenediaminetetra-acetic acid (EDTA)-free formulation.
d.
KEY
A = Physically compatible for at least 2 hours H = Physically compatible for at least 1 hour
C = Physically compatible I = Incompatible
D = Physically compatible in dextrose 5% in water N = Information on compatibility is not available or not adequate
E = Physically compatible for at least 5 minutes R = Physically compatible for 24 hours under refrigeration
G = Physically compatible in glass bottle only S = Physically compatible in 0.9% sodium chloride
I N D E P E N D E N T LY D E V E L O P E D B Y M C M A H O N P U B L I S H I N G
2
Methylprednisolone sod. Succ.
Hydrocortisone Sod. Succ.
Piperacillin-tazobactam
Penicillin G Potassium
Potassium chloride
Magnesium sulfate
Ringer’s, lactated
Prochlorperazine
Morphine sulfate
Hydromorphone
Metoclopramide
Norepinephrine
Insulin, regular
Metronidazole
Phenylephrine
Nitroprussidea
Pantoprazoleb
Palonosetron
Nitroglycerin
Voriconazole
Ondansetron
Levofloxacin
Vancomycin
Vasopressin
Meropenem
Granisetron
Tobramycin
Tigecycline
Lorazepam
Micafungin
Midazolam
Tacrolimus
Phenytoin
TMP-SMX
Labetalol
Linezolid
Propofol
Mannitol
Nafcillin
Heparin
N C C C C C I I C C C C N C N C N I N C C I N I I N C I I I C I C N C C I C C C C C C Acyclovir
ll
C I C C C N C C C C C C N C C C N C C C C C C C C C C C I C C C I C C C C C C I C C C Amikacin
rig
Co
C I N N I C C I C C N N N C N C I C C N C N C N C N C C N I C N N N I N C I C N C C C Amiodarone
ht
py
C S N N N N N C C I N N N N N C N I N I N I N I C C I N I N N I C I I C N C N I N N C Ampicillin
s
C N N C N N N C C I N N N I N C N I N N N N N I C C N N I N N I N R N C N C N I N N C Ampicillin-sulbactam
rig ed.
re
C C C C C C C C C C I C C C C C N C C C C C C C C C N C I C C C N N I C C N C C C C C Anidulafungin
ht
se
N N C C N N N N N C N N N N N N N C C N C C C C N N N C N N N N N C N C N C N N N C N Argatroban
rv
N N N N I N N N N N N N N N N N N N I N N N N C C C N N N I I N N C N C N C I N N C C Azithromycin
20
C C C C N C C C C I C C N C C I N C C N C C C C C I C C I C C I C C C C C C C N N C C Aztreonam
C C C C C C C C C C C C C C C C N C C C C C C C C N N C I C C I N N C C C C C C I C C
11
Bivalirudin
Re
C C C C C C C C C C C C N C C C C N C C C C C C C C C C I C C N C C C C C C C I C C C Bumetanide
M
pr
C C N C N C C C C C N C N I C C C C C C C C C C C C C C I C C N C C I C C C C I C C C Calcium gluconate
cM
od
C I C C C C C C C N C C C I C N N C C I C I C C C N N C I I C C N N I C C C C I C C C Caspofungin
uc
ah in w
C C C N C C N I C C N C N C C C N C C C C C C C C N C C I N C I C C C C C C N I N C C Cefazolin
tio
C C C C C H N C C C I I N C I C N I N N N N N I C I N N I C C I N N C C I C N C N C I
on
Cefepime
C C C C C C I N C C C C N I C C N C C C C C C C C I C C I N C I C C I C C C C I N C C Cefotaxime
n
Pu
C C C C C I I I C C C C N I C C N C C C C C C C C C C C I N C I C C I C C C C I N C C Cefoxitin
bl
C C C C N C I C N C N C N C C C N C C N N N C C N C N N N N C N C C C C N N C C N C C Ceftaroline
is
C C C C C C C C C C C C N C C C N I C C C I C N C N C C I N C I N C C C C C C I N C C Ceftazidime
ho
hi
C C C C C C C C C C C C N C C C N C C C C C C C C C C C I N C I C C C C C C C I N C C Ceftizoxime
ng
le
C C C C I C I C N C I C N C C C N C C C C C C N C C C C I N C I C I C C C C I I N C C Ceftriaxone
or
C I I C N N N N C C I N N I C C N C N N N N C C C I N N I I C N I C I C C C C N N C C Ciprofloxacin
ro
in
C C C C C C N C C C C C N C C C N N C C C C C C C N C C I C C I C C C C C C N I C C C Clindamycin
up
C C C C I C C C C C C C C C C I N C C C I C C C C I N C I C C C N C C C C C C C I C C Daptomycin
pa
C C C N C C I C C C I C C C C C N I C C C C C C C I C C I C C I C C C C C C I I N C C Dexamethasone
un ou
rt
C N C C N C C C C N C N I N C N C C C C G C C C C C C C I C C N C C C C N C C N C N C D5W
w
le
I I I N I I I I I N I I I I I I N I N N I I I N I I I I I C I I I I I N I I I I I I I Diazepam
ith
ss
C N N C C N C C C C C C C N C C I C C N C C C C C I C C I I C C N N N C C C C C C C C Diltiazem
ot
C N N C C I C C C C C C C I C C N C C N C I C C C I C C I C C C C C I C C C C I C C C Diphenhydramine
he
tp
C N I C N N C C C C N C C C C C I N C C C N C C C I I C I I C C C C I C C C C I C C C Dobutamine
rw
C C C C C N C C C C C C C C C C C C C C C C C C C N C C I C C C C C N C C C C I C C C Dopamine
er
C C C C N C C C C C C C N C C C C C C N N N C C N C N C N N C N I N C C C C C N C N C Doripenem
is
m
C I I C C C C C C C C C N I C C N C C I C C C C I C I C I I C C C N I C C N C I C C C Doxycycline
is
no
si
C C C C C C C C C C C C C C C C N C C C C C C C C N C C I C C C C N C C C C C N C C C Enalaprilat
on
te
C C C C C N C C C C C C N C C C I C C C C C C C C C C C I C C C C C I C C C C I C C C Epinephrine
d.
C C C C C N C C C C C C C C C C C C C N C N C C C N N C I C C C N N C C N C C C C N N Eptifibatide
is
C N N C C C C C C C C C N N C C C C C N C C C C C I C C N C C C C C C C C C C N C C C Esmolol
pr
N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N C N C I N N N N N N Esomeprazole
oh
C C C C C N C C C C C C N C C C N C C C C C C C C I C C N I C C C C C C C C C I C C C Famotidine
ib
C C C C C C C C C C C C N C C C N C C C C C C C C I C C I C C C C N C C C C C I C C C Fentanyl
ite
I N D E P E N D E N T LY D E V E L O P E D B Y M C M A H O N P U B L I S H I N G
3
Table. Compatibility of Selected IV Drugs (continued)
Ampicillin-sulbactam
Dextrose 5% in water
Calcium gluconate
Diphenhydramine
Dexamethasone
Esomeprazole
Anidulafungin
Azithromycin
Ciprofloxacin
Caspofungin
Amiodarone
Dobutamine
Clindamycin
Fluconazole
Epinephrine
Ceftazidime
Bumetanide
Daptomycin
Doxycycline
Ceftizoxime
Eptifibatide
Furosemide
Ceftriaxone
Argatroban
Cefotaxime
Gentamicin
Famotidine
Doripenem
Ceftaroline
Aztreonam
Enalaprilat
Bivalirudin
Dopamine
Ampicillin
Diazepam
Cefepime
Diltiazem
Cefazolin
Acyclovir
Amikacin
Cefoxitin
Fentanyl
Esmolol
A
Fluconazole C C C I N C N N C C C N C C C N C C N C N C N C C C I C C C C C C C C C C N C C N C
ll
Furosemide C C N S N C C I C C C C I C C C C C C C C I C C C C I I I I N C I C C I I N N C N N
rig
Co
Gentamicin N C C I N C N I C C C C C N N N C C N C N C C C I C I C C C C C C C C C C N C C C N
ht
py
Granisetron N C C C C C N N C C C C C C C C C C C C C C C C C C I C C C C C C C C C C N C C C C C
s
Heparin C I I S N C N N C C C C I C C C C C C C C I C C C N I N N N C C I C C C N N C C C C I
rig ed.
re
Hydrocortisone C C N N N C C N C C C N C C C C C C C C C I C C C C I N N I C C I C C C N N C C C C N
ht
se
Hydromorphone C C N N C C C N C C C C C N C C C C C C C C C C N C N C C C C C C C C C C N C C C C C
rv
Imipenem-cilastatin C C I N N C N I N C C N C C C C C N C C I N C I C N I C C N C N C C C C C N C C N C C
20
Insulin, regular C N C N N C N N C C C C C C H C I C C C C N C C C C I N I N N C C C N N C N N C C C N
I C C N N C N N C C C C C N N I I I C C I N N C I C I C C C C C C C C C C N C C C N C
11
Labetalol
Re
Levofloxacin I C I C C C N N C C C C C I C N I C C C C N C C C C I C C C C C C C C C C N C C C I C
M
pr
Linezolid C C C C C C N N C C C C C C C C C N C C N C C C C C I C C C C C C C C C C N C C C C C
cM
od
Lorazepam C C C I I C C N I C C C N C C C C C C C C C C C C N N C C C C C C C C C C N C C C C C
uc
ah in w
Magnesium sulfate C C N N N I N N C C C N C N I C C N C C I I C C I C I C C N C C C C C C C N C C C N C
tio
C C N N N C N N C C C C C C I C C C C C C N C C C N I C C C C C C C C C C N C C C C C
on
Mannitol
Meropenem N N N N N C N N N C N N C N N N N N N N N N N C C I I C C C C N N C N C N N N N C C C
n
Pu
Methylprednisolone C C C N I C N N C C C I I C C I I C C C C I C C C N I N I C C C I C C C N N C C C C C
bl
Metoclopramide N C N N N C N N C C C C C C I C C C C C C C C C C C I C C C C C C C C C C N C C C N C
is
Metronidazole C C C C C C N N I C C C N C C C C C C C C C C I C N I C C C C C C C C C C N C C C C C
ho
hi
Micafungin N N I N N N N N N N C C N N N N N N N N N N N N N C N I N I C C N N I C C N N N N C N
ng
le
Midazolam I C C I I C C N C C N C C C I C C C I C C C N C I C I C C N C C C C C C C N C C C I C
or
Morphine sulfate N C C N N C C I C C C C C C N C C C C C C N C C C C N C C C C C C C C C C N C C C N C
ro
in
Nafcillin C C N I N C N N N C C C I C N C C N C C C N C C C C N N N C C N I C C N N N C C C C N
up
Nitroglycerin C C C N N C C N C C C C C C N C C N C C C N C I C G I C C C C N C C C C C N C C C N C
pa
Nitroprussidea I C N I N C C N C C C C I C N C C N I C C N C C C C I C I N C N C C C N C N C C C C C
un ou
rt
Norepinephrine N C C N N C C N C C C C C C N C C C C C C C C C C C I C C C C C C C C C C N C C C N C
w
le
Ondansetron I C N I I C C C C C C C C C I C C C N C N C C C C C N C C C C C C C C C C N C C C I C
ith
ss
Palonosetron I C C C C C N C C C C C C C C C C N C C C C C C C C I C C C C N I C C C C N C C C C C
ot
Pantoprazoleb N C N C C C N C I N C C N N I I C C N C C I N I I C I I I I N C C N C N I N I I I N C
he
tp
Penicillin G C C C I N N N N C N C C N C N C C N C C C N C N C C I C C I C N I C C N C N C C C C C
rw
Phenylephrine I C C N N C C N C C C C C C N C C N C C C N C C C C I C C C C C C C C C C N C C C I C
er
Phenytoin I I N I I I N N I I I I I I I I I N I I I I I I I I I I I I I N I I I I N N N I N I I
is
m
Piperacillan-tazobactam I C I N N C N I C C C C I N C N N N N N N I C C C C C I C I C N I C C C C N I C C C N
is
no
si
Potassium chloride C C C N N C N I C C C C C C C C C C C C C C C C C C I C C C C C C C C C C N C C C C C
on
te
Prochlorperazine I C N I I C N N I I N N C I I I I N I I I N I C I N I C C C C N C C C C C N C C C I C
d.
Propofol C I N C N N N N C N C C N C N C C C N C C I C N C C I N C C C I C C C N C N C C C C I
is
Ringer’s, lactated N C N I R N C C C N C C N C N C C C C C I C C C C C I N C C C N N N C N C C C N C C C
pr
Sodium bicarbonate C C I I N I N N C C C I I C C I I C C C C I C C C C I N I I N C I C I C C N C C C C C
oh
Tacrolimus I C C N N C N N C C C C C C I C C N C C C C C C C N I C C C C C C C C N C I C C C N C
ite
Tigecycline C C I C C N C C C C C C C C C C C N C C C C C C C C I C C C C C N C C C C N C C C C C
d.
Tobramycin C C C N N C N I C C C C C N N C C C C C I C N C I C I C C C C C C C C C C N C C C C C
TMP-SMX C I N I I C N N N C I I I I C I I C I I I N I C I N I C I I I N I N I C N N I I I I I
Vancomycin C C C N N C N N N I C C C N N N N N N N N N C I N C I C C C C C C C C C C N C C C I C
Vasopressin C C C N N C C C C C C C C C C C C C C C C C C C C N I C C C C N C C C N C N C C C N C
Voriconazole C C C C C C N C C C C C C C I C C C C C C C C C C C I C C C C C C C C N C N C C C C C
a
Protect from light. b Testing was performed with ethylenediaminetetra-acetic acid (EDTA)-free formulation.
I N D E P E N D E N T LY D E V E L O P E D B Y M C M A H O N P U B L I S H I N G
4
Methylprednisolone sod. Succ.
Hydrocortisone Sod. Succ.
Piperacillin-tazobactam
Penicillin G Potassium
Potassium chloride
Magnesium sulfate
Ringer’s, lactated
Prochlorperazine
Morphine sulfate
Hydromorphone
Metoclopramide
Norepinephrine
Insulin, regular
Metronidazole
Phenylephrine
Nitroprussidea
Pantoprazoleb
Palonosetron
Nitroglycerin
Voriconazole
Ondansetron
Levofloxacin
Vancomycin
Vasopressin
Meropenem
Granisetron
Tobramycin
Tigecycline
Lorazepam
Micafungin
Midazolam
Tacrolimus
Phenytoin
TMP-SMX
Labetalol
Linezolid
Propofol
Mannitol
Nafcillin
Heparin
C C C C N C C C C C C C C C C C N C C C C C C C C I C C N C C C C C C C C C C I C C C Fluconazole
ll
C C C C C C N I C C N C C C N C C I N C N C N I C N C I I C C I C C C C N C C I I N C Furosemide
rig
Co
C I N C C N C C C C C C C C C C N C C N C C C C C C C C I N C C I C C C C C C I C C C Gentamicin
ht
py
C C C C C C C C C C C C C C C N C C C C C C N N C N C I C C C C N C C C C C C C C C Granisetron
s
C N N C C N I C C C C C N C C C C N C C C C C C C C C I C C N C N C C C C I E I C C Heparin
rig ed.
re
C N C C C I C C C N C N N C C N N C N C C C C C N C C I C C N C C C C C C N I N C C Hydrocortisone
ht
se
C N C C C C C C C C C C C C C C C C C C C C C C N C C I C C N C C I C C C C C C C N Hydromorphone
rv
C C C C C C C C I C I N C C C N N C C C N C C I C C C I N N I C I I R C C C I C C C Imipenem-cilastatin
20
C C C C C I N C C C C C C C C I N N N C C N N C N C I I I C I C G C N C C N I C N C Insulin, regular
C N I C C I C C C C C N C C C I C C N C C C C C I N C I I C C C C N C C C C N C C C
11
Labetalol
Re
C I C C C N C C N N C N C C C N C C N I I N C C I N C I I C I I N C C C C C C C C C Levofloxacin
M
pr
C C C C C C C C C C C C C C C N C C C C C C C C I N C I C C C N C C C C C C N C C C Linezolid
cM
od
C C C C I C C N C C C C C C C C C C C C C C I C I N C I C C N C N C N C C C C C C C Lorazepam
uc
ah in w
C C N C C C C C C C C C I C C C C C C C C C C C N C C I C C C C C C C C C C N C C C Magnesium sulfate
tio
C C C C I C C C C C C I C C C N C C C C C C C C N C C I C C C C N C N C C C I C C C
on
Mannitol
C C N C N C N N C C C I N C C N N C N N N C N C N N N N N N N N I I R C C N N C C C Meropenem
n
Pu
C N N C C C C C C C I C N C C N N C N C C C N N I C C I C N C I N C C C N C I C C C Methylprednisolone
bl
C C C C C C C C C C C C C C C N C C C C C C C C N C C I C C C I C C C C C C I C C C Metoclopramide
is
C C C C C C C C C C C C C C C N C C C C C C C C I N C I C C C N N C N C C C C C C C Metronidazole
ho
hi
N C N C N I I N N C C N N N N N I I N C C C I N N N C I N C N N C N C C N N N N C N Micafungin
ng
le
C C N C N N C C C C C C N N C C I C N C C C C C I C C I I C I N N I C C C C I C C C Midazolam
or
C N C C C N C C C C C C C C C C I C C C C C C C N C C I C C C N C N C C C C N C C C Morphine sulfate
ro
in
C C N C C N N N C C C C N N C C N N C C C C C I C C C I N C C C C C C C C N I N C C Nafcillin
up
C C C C C C C I C C C C N C C C C C C C C C C C N C C I C C C C G C G C C C I C C C Nitroglycerin
pa
C C C C N C C I C C C C N C C C C C C C C C C C N C C I C C I C C C C C C C I C C I Nitroprussidea
un ou
rt
C C C C C N C N C C C C C C C C C C C C C C C C N C C I C C C C C I C C C C I C C C Norepinephrine
w
le
N C C C C N C C C I C C N N C C I C C C C C C N I C C I C C C C C I C C C C I C C C Ondansetron
ith
ss
N C C C I C C C C C C C C N C C N C C I C C C N I N C I C C C C N C C C C C C C C C Palonosetron
ot
C C N N C N I I I I N N N I N I N I N C N N N I I N C I N C I N C N C N C N N N C I Pantoprazoleb
he
tp
N C C C C C N N N N C C N C C N N C C C C C C C N N C I N C C N C N N C N C I N C N Penicillin G
rw
C C C C C I C C C C C C N C C C C C C C C C C C C C C I C C C N C C C C C C I C C C Phenylephrine
er
I I I I I I I I I I I I N I I I I I I I I I I I I I I I I I I I I I I I I I I I I I Phenytoin
is
m
C C C C N I I I C C C C N C C C N I C N C C C C C N N C I C I N C C C C C I C N C C Piperacillin-tazobactam
is
no
si
C C C C N C C C C C C C N N C C C C C C C C C C C C C C I C C C C C C C C C I C C C Potassium chloride
on
te
C N N N I I C I C N C C N C C C N I C C C I C C C I C C I I C C C N N C C C I C C N Prochlorperazine
d.
C C C C C C C I N C C C N I I N N N N C C C C C C N N N I N C C C C N N N I N N N N Propofol
is
N N C C I G C N C N C N I N C N C N C C G C C C N C C C I C C C C N N N C C N C N N Ringer’s, lactated
pr
C C C I I C N C C C C C I C C C N I N C C C I I C N N C I C C N C N C C C C I N C C Sodium bicarbonate
oh
C C C C C C C C C C C C C C C C C C C C C C C C C N C C I C C C N N C N C C N C C C Tacrolimus
ite
C C C C C C C C C C C C C N C C N C C C C C C C C C N C I C C C N C C N C C C C C N Tigecycline
d.
C I N C C N C C C C C C N C C C N C C N C C C C C N C C I I C C I C C C C C I C C C Tobramycin
C E I C I I N C N C N I N I I C N I N I I I I I C N I I I C I I N N I N N C I I N C TMP-SMX
C I N C C C C C C C C C C C C C N C C N C C C C C N N C I N C C N C N C C C C I C C Vancomycin
C C C C C N C C C C C C C C C C C C C C C C C C C C C C I C C C N N C N C C C N C C Vasopressin
C C C N C C C C C C C C C C C C N C C C C I C C C I N C I C C N N N C C C N C C C C Voriconazole
I N D E P E N D E N T LY D E V E L O P E D B Y M C M A H O N P U B L I S H I N G
5
Text continued from page 1 help clinicians minimize their occurrence. Continuing
incompatibilities are the most easily detected and are research adding to the existing body of knowledge on
evidenced by visible changes, such as particulate for- IV compatibilities is vital.
mation, haze, precipitation, color change, and gas evo-
lution. Chemical incompatibilities are those that result Suggested Reading
in decomposition of a drug. Loss of potency of greater
than 10% over the defined testing period is considered Bertsche T, Mayer Y, Stahl R, Hoppe-Tichy T, Encke J, Haefeli WE.
Prevention of intravenous drug incompatibilities in an intensive care
chemical incompatibility. Most chemical incompat- unit. Am J Health Syst Pharm. 2008;65(19):1834-1840.
ibilities can be detected only with a suitable analytic
method. Therapeutic incompatibilities in which a drug Canann D, Tyler LS, Barker B, Condie C. Visual compatibility of IV
medications routinely used in bone marrow transplant recipients.
combination results in undesirable antagonistic or syn- Am J Health Syst Pharm. 2009;66(8):727-729.
A
most compatibility references. Condie CK, Tyler LS, Barker B, Canann DM. Visual compatibility of
rig
Co
rig ed.
information can be accessed quickly and conveniently. Data on file. Wyeth Pharmaceuticals.
re
cates that the combination evaluated appears to be Nemec K, Kopelent-Frank H, Greif R. Standardization of infusion solu-
11
of compatibility. All conditions that may affect com- Trissel LA, ed. Handbook on Injectable Drugs. 16th ed. Bethesda, MD:
American Society of Health-System Pharmacists; 2011.
patibility cannot be included in such a format and it
uc
ah in w
on
arise, but it is hoped that the information provided may Dr. Cayo reports no relevant conflicts of interest.
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