3: Compatibility check using available literature, databases, services and information material. 8. Drug pairs with conflicting compatibility results may often have different concentrations used or other differences to account for the variability. With workflows optimized by technology and guided by deep domain expertise, we help organizations grow, manage, and protect their businesses and their clients businesses. This is not a complete list of side effects and other serious side effects or health problems may occur as a result of the use of this drug. IV medication must be cleared by flushing at the same rate of administration to avoid the . Further publications showed that, depending on the ward type, up to 80% of IV drug doses were prepared with the wrong diluents.11. Read in online version de INTRAVENOUS COMPATIBILITY CHART - Drug Information For The .. Download page 1-6 in FlipHTML5. Title: 136192_NDH12 Author: BDTEMP1 Created Date: 1/14/2011 9:39:58 PM . This is because of higher mutual drug concentrations and potentially greater pH changes in the more concentrated solution. Today hospital pharmacists have access to the entire King Guide in the pharmacy, at nurses stations, on-rounds, on-call at home, on tablets and phones - all with the same user interface and no software to install or maintain. This trial version of the IV-Compatibility Checker is not currently being maintained and may not feature updated information. Rapid IV bolus Discuss common intravenous fluids, including the abbreviations used. Y-Site, Syringe, and other sets/container specific information. q.pD&abjlurtMh""?7u9 eo:jWCIY#%E;%;ZgqvPWy{d&pk0k;%s*%@=)e cI2mJ2(zTv$5hu -d0)&2`\ I9d. Y-Site, Syringe, and other sets/container specific information. Other drugs which demonstrate solubility problems and which are formulated in injection vehicles other than simple aqueous solutions include digoxin, clonazepam, phenytoin, amiodarone and phytomenadione. This can include the rinsing of the infusion system with a neutral IV solution prior to the application of another drug. Injectable diazepam should be diluted with four parts water to ensure it does not precipitate in the syringe. We coordinate your medical care when discharged from the hospital. Timely, independent, evidence-based information on new drugs and medical tests, and changes to the PBS and MBS. Any other research result that does not fit the conventional guidelines of compatibility or incompatibility. GPO Box 5480, Sydney NSW 2001 Australian Commission on Safety and Quality in Health CareLevel 5, 255 Elizabeth StreetSydney NSW 2000, We are always looking for ways to improve our website, Please help us to improve our services by answering the following question. Ketorolac Tromethamine IV Drug Compatibility Chart L Alteplase (Activase, rTPA) Amiodarone (Cordarone) Argatroban Atropine Calcium chloride Diltiazem (Cardizem) Dobutamine (Dobutrex) Dopamine Epinephrine (Adrenalin) Esmolol (Brevibloc) Furosemide (Lasix) Heparin Insulin (regular) Lidocaine (Xylocaine) Lorazepam (Ativan) Magnesium Sulfate Adverse effects of drug incompatibilities extend periods of patients hospitalization and the total costs for hospitals. For the same reasons, hydroxocobalamin (a synthetic form of vitamin B12) should not be administered in the same line as dopamine, fentanyl, nitroglycerin, or sodium nitrite Consequences for the Patient Chemical stability studies, however . Mixing magnesium sulfate 50% and calcium chloride 10% results in precipitation of insoluble calcium sulfate. Making safe and wise decisions for biological disease-modifying antirheumatic drugs (bDMARDs) and other specialised medicines. A 10% or greater loss of intact drug within 24 hours is also considered evidence of incompatibility. IV diazepam (valium) is incompatible with most drugs and fluids, including normal saline. %PDF-1.5 % Click on "Trissel's IV Compatibility" to open the module. dry mouth , chest pain or pressure, pain spreading to the jaw or shoulder , nausea, and. Some cannot be safely diluted in infusion bags. "_5ZIkcu 3 o(|pM,d7Ut_8=zjgRgQ:m ns{k&h{ pADpD.Ak,{i-D%6B_sX?\L1yy.z"$ oJ {4a:\y"9Hl/lDj:}zyGDMVZJ^ j&27. To have the most complete information possible ASHP recommends multiple sources of IV drug information be available to hospital pharmacy. Call your doctor for medical advice about serious . PN solutions are diverse in their composition and compatibilities with drugs can never be guaranteed. hbbd```b``:"g[A$$)i"eAti"C$40D?Hh _#)Pd?= 1S5 3. Many of these may be due to differences in concentrations of either drug or in the solution diluent. What makes a difference? Fig. Data sources: Published articles, nursing and pharmacology . Refer to drug manufacturer's labeling and use instructions for recommendations, USP <797>, and applicable institution policy for shelf life and sterility information of reconstituted product and admixture device compatibility. The test drug in a solution was stable in one container type but not another or with some drug delivery devices but not others. Qual Saf Health Care; 14(3): 190-195, 12 Riemann T, Schrder F. (2005) More effective prevention of incompatibility reactions through the use of four lumen central venous catheters in critically ill patients. Intensive Care Med; 25(4): 353-9, 9 Vogel Kahmann I, Brki R, et al. Anaesthesist; 52(5): 409-12, 10 Taxis K, Barber N. (2004) Incidence and severity of intravenous drug errors in a German hospital. Any change in pH towards the other end of the pH scale will reduce the proportion of ionised to un-ionised drug in solution and will therefore reduce the water solubility of the drug. J Basic Clin Pharm; 5(2): 49-53, 5 Westbrook JI, Rob MI, Woods A, Parry D. (2011) Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience. Incompatibilities of drugs in standard IV therapy can occur between: The unintended presence of precipitation and toxic products can cause various negative consequences for the patient. 20 years of helping Australians make better decisions about medicines, medical tests and other health technologies. Only limited material is available in the selected language. Complete pharmacokinetic information includes the mechanism and absorption of the drug, as well as its action, duration, and excretion. drug, chemical substance, nutrition) resulting in a solution that is no longer optimal for the patient after the substances are mixed.1,3, (1) Taxis K, Barber N. (2004) Incidence and severity of intravenous drug errors in a German hospital. In this guide, infusion durations are for 24 hours. Search our global job market for interesting job profiles. No more over sizedcharts. drugs and materials of IV containers (e.g. In one study, incompatibility was investigated in a pediatric intensive care ward showing that 3.4% of drug combinations were incompatible and thus potentially dangerous.7A life threatening nature was found for 26% of incompatibilities in an intensive care unit (ICU).8, Another survey collected 78 different medication regimes and found 15% with incompatibility reactions.9Taxis and Barber10reported that in the ICU clinical incompatibilities can contribute to 25% of medication errors. This was the third project that I was assigned at Oconee Medical center. Select a drug or solution by clicking the Enter key on your keyboard or by using the Add button. Includes routes, dosages, temperatures, and containers used to determine compatibility and stability. The majority of sources cited define compatibility by physical compatibility rather than chemical compatibility This table is a guide only. What you should know about drug compatibility. Y-Site Compatibility Wall Charts Updated for 2020 King Guide Y-Site Compatibility Wall Charts include 123 IV drugs in 4 infusion fluids on a 27" x 27" laminated poster. Each monograph reports the routes, dosages, temperatures, and containers used to determine compatibility and stability from fully referenced peer-reviewed primary sources. Such circumstances include: The decision to mix drugs should not be made without knowledge of their compatibility. All rights reserved. We start 2023 with the following list of 603 injectable drugs currently found in the King Guide to Parenteral Admixtures Loose-Leaf, and Internet Editions. Aust Prescr 2008;31:98-101. https://doi.org/10.18773/austprescr.2008.057, Changes to COVID-19 oral antiviral PBS eligibility criteria, FAQs: use of COVID-19 oral antiviral agents in residential aged care, COVID-19 vaccination side effects: how to manage and when to report them, Chronic kidney disease: early detection and management, Mental health and young people: opportunities to empower and engage, Benzodiazepine dependence: reduce the risk, Mental health and young people: finding the path that works for you, Reducing your risk of benzodiazepine dependence, Administration of medicines to children: a practical guide, COVID-19 oral antiviral PBS eligibility criteria update November 2022, Vericiguat (Verquvo) for persistent chronic heart failure with LVEF < 45%, COVID-19 oral antiviral PBS eligibility criteria update September and November 2022, Chronic kidney disease: a focus on early detection and management Quality use of medicines briefing paper. It is a list of 33 antibiotics and their given stability in several different solutions. When in contact with other fluids it precipitates as well. Let us drive innovation in medical technology together. Medication compatibilities are concentration, temperature and light dependent. @z0012c`,' FETROJA (cefiderocol) for injection, for intravenous use Initial U.S. Approval: 2019 -----INDICATIONS AND USAGE----- l indicated in patients 18 years of age or older who have limited or no alternative treatment options, for the . 2. (2003) Incompatibility reactions in the intensive care unit. (2007) Preparation of a compatibility chart for intravenous drug therapy in neonatal and pediatric intensive care units. No data for administration methods chosen. Assessment and planning of regimes to avoid mixing of drugs, which have to be administered separately. . Find information on medicines by active ingredient or brand name. Two observers performed visual evaluation independently immediately upon . Dangerous incompatibilities can be prevented bya plausibility check regarding the SPC and available sources on compatibility information, also considering the material used for therapy (e.g. ReTweet. Amiodarone (Cordarone) IV Infusion IV Infusion IV Infusion: A-fib rate control only . Visit the B. Braun product catalog with our complete portfolio. 3 Emami S, Hamishehkar H, Mahmoodpoor A, Mashayekhi S, Asgharian P. (2012) Errors of oral medication administration in a patient with enteral feeding tube. Each sample was prepared in duplicate and performed at room temperature. Numerous factors affect stability and compatibility including salt, strength, diluents, order of drawing up, temperature and infusion periods. and on the type of drug administered. Latest news, evidence and CPD opportunities. qR` $m^0n`2A{q0&l'lo}E5|mOA LU $s@_w ?bz8y LX&qCRKuzDr~tM,3'#5 =&8 5aWFxx[~6Du2bxdE@$FU$!Dc- For research results that do not fit these conventional guidelines, the research results are designated as Uncertain or Variable. Our solutions for regulated financial departments and institutions help customers meet their obligations to external regulators. The Vial2Bag Advanced 20mm admixture device is not compatible for use with all drug products. The booklet versions of Therapeutic Guidelines: Antibiotic and Therapeutic Guidelines: Oral and Dental will be updated when new editions are published. Fig. The following statements are either true or false. To view compatibility results for a list of drugs, enter multiple IV drugs and/or solutions then click "Analyze". Find the product you are looking for. David McAuley, Pharm.D. COMPATIBILITY Compatibility is dependent on the concentration of each medication in the total final volume being infused, rather than the actual dose. An internet connection is not required, allowing you to make decisions with confidence at anytime, from anywhere. J Res Pharm Pract; (1): 37-40. Administer with a 0.22 micron filter. For example, some medications shouldn't be stored in PVC plastic containers. If intravenous drugs are not mixed but are given consecutively, the infusion line should be flushed through with compatible fluid between each administration. BMJ Qual Saf; 20(12): 1027-34, 6 Hpner JH, Schulte A, Thiessen J, Knuf M, Huth RG. We apologize for any inconvenience. H$!"EaB.}9 >#Q>_TFALvz^B3kVeKjXLi~*-*9qF&~h[ adsorption). If you really do court, make a point of conversation about your welfare and well-being. Corporations and LLCs doing business in another state? @ 2 RCN (2010) Royal College of Nursing. By using our website you agree that we can use cookies and agree to our Privacy Policy terms. J Res Pharm Pract; (1): 37-40, 4 Vijayakumar A, Sharon EV, Teena J, Nobil S, Nazeer I. The King Guide to Parenteral Admixtures exceeds TJC requirements for updated references, is NABP endorsed and listed by name by many state pharmacy boards as a required reference. The drug is formulated with non-aqueous solubilising agents and the solution is adjusted to a pH of 12. Mixing is best avoided. Albumin ? Indications of use may also vary by country and region. 0 Episode 51: Quit smoking. These monographs may include formulation or reconstitution information, stability and storage information, light effects, pH, and/or other details regarding the physical/chemical properties of the drug. Factors correlating with Nurses errors. For more information, please visit our home care page. Reasonable care is taken to provide accurate information at the time of creation. [/quote'] Table 2 lists the IV administration set tested and found to be compatible with Treanda Injection after dilution in a 500 mL 0.9% sodium chloride IV infusion bags. a Abciximab (reopro) Acetaminophen Acetazolamide (Diamox ) Acetylcysteine Acyclovir - Zovirax ADAKVEO (crizanlizumab-tmca) ADUHELM (aducanumab-avwa) AKYNZEO (netupitant-palonosetron) Albumin Alteplase Ambisome (amphotericin B) Amikacin Aminocaproic Acid - Amicar Aminophylline Amiodarone Ampho B Lipid Complex (abelcet) Amphotec Amphotericin B This site complies with the HONcode standard for trust- worthy health information: verify here. Keep a compatibility chart handy in your medication room or on your medication cart (in . With this app you will have access to the largest, most comprehensive IV compatibility resource which: Includes drug-solution compatibility results as well as drug-drug compatibility results when creating an admixture or administering via Y-Site. Find out more about the antiviral medicines helping to treat COVID-19. Compatibility of a drug(s) is dependent on the manufacturer(s) of the products and/or the use of specific product formulations. 574 0 obj <> endobj 610 0 obj <>/Encrypt 575 0 R/Filter/FlateDecode/ID[<7C5275BC3D5C496FB588ACDF9629EDDA>]/Index[574 66]/Info 573 0 R/Length 145/Prev 963922/Root 576 0 R/Size 640/Type/XRef/W[1 2 1]>>stream arrow_forward. As a general guide, line compatibility of different drugs often depends on the pH of the drugs concerned. &2dG&SGi`B N PraWp#ZNkb}s&,V T8=L cUATj8c? patients at home requiring many drugs by simultaneous continuous infusion where multiple intravenous lines are not feasible, for example, use of a syringe driver during palliative care. A number of references, in addition to the manufacturer's product information, are available. z Z}\3n g[z@@(~B7n$kR2bY8q+':ntv&=~UT}qog&p&G5mZ92}u`0eLQ'HY_4U)J#Zh} kY2m} vu&YoYjFxOK8b=fE&WJbJ" The online edition started as a direct replacement for the original loose-leaf King Guide. Incompatibility can involve precipitation, ionic reactions, evolution of gas and denaturation of biological molecules. While some general principles can be applied to the mixing of injection solutions, they are fraught with exception and applicability varies with circumstance. All drug components in the test samples were found to be chemically stable (less than 10% loss of intact drug) for at least 24 hours under the conditions being tested. One or more drug components in the test samples exhibited a loss of intact drug greater than 10% within 24 hours under the conditions being tested. Not all products are registered and approved for sale in all countries or regions. Methods: historic cohort (retrospective) with 110 adults in critical units. (A blank space indicates no available data.) !k> (2014) A clinical study on drug-related problems associated with intravenous drug administration. Don't let the courthouse door close on you. 2015-05-04. IV Medication Safety: The right rate While your IV infusions will be programmed on your pump or by drops per minute, your IV push medications are given at the rate you push them. For more products, please check the B. Braun Product Catalogue. Switching to IV push, using solutions other than saline, using large volume solutions, or using syringe infusion pumps, may change the stability and compatibility characteristics of the medication to be administered. Sodium bicarbonate and mannitol solutions should not be used as diluent for intravenous drug administration. In this update we added a new monograph for TOCILIZUMAB. The compatibility results are presented in a chart or list view, with the default chart view displaying all methods within the fields for the selected drugs and solutions. Our COVID-19 information hub has important information for everyone, including resources about vaccines and treatments. The revised guidelines are available free of charge on the Therapeutic Guidelines website www.tg.com.au and in the electronic publications eTG complete and miniTG. Return to the chart by clicking the X in the top left corner of the study list. Available for Critical Care Admixtures or Chemotherapy. In the chart display, each compatibility pair has an indicator for the type of result found. To clear the items from the tool, click the Clear button. Mixing solutions containing calcium or magnesium ions has a substantial risk of forming an insoluble calcium or magnesium salt. Procedure Details Incompatibility between two intravenous (IV) bolus drugs constituted 68.8% with pantoprazole and ondansetron (85.4%) being the most frequent combination. ! Read our privacy policy. Over 600 IV drugs with at-a-glance view of compatibility in 12 fluids Over 3,200 primary source references Includes routes, dosages, temperatures, and containers used to determine compatibility and stability. Copyright 2021 GlobalRPH - Web Development by, IV Dilutions Medication Reference and Infusion Guidelines, Renal dosing for healthcare professionals, HONcode standard for trust- worthy health, Pediatric Oncology: Diagnosis And Prognosis Communication. When both compatible and incompatible study results are available for the same drug pair. Among repeat test samples, microparticulate formation was electronically determined to have formed in some samples but not others. You can click on the compatibility icons in the list view to see the same study list and details. Rare side effects of Nitroglycerin IV include: none. RICU: Respiratory Intermediate Care Unit, Subsequently, severe respiratory complications caused by toxic drug-drug interactions may lead to an additional cost for the healthcare provider of up to 56,670 per single case.14. The more medicines you take, the more difficult it can be to remember important information about them. /Feature/WoltersKluwer/OneWeb/SearchHeader/Search, The worlds most trusted medical research platform, Evidence-based drug referential solutions, Targeting infection prevention, pharmacy and sepsis management, Cloud-based tax preparation and compliance, workflow management and audit solution, Integrated tax, accounting and audit, and workflow software tools, Tax Preparation Software for Tax Preparers, Integrated regulatory compliance and reporting solution suite, Market leader in UCC filing, searches, and management, eOriginal securely digitizes the lending process from the close to the secondary market, Software solutions for risk & compliance, engineering & operations, and EHSQ & sustainability, Registered agent & business license solutions, The world's unrivalled and indispensable online resource for international arbitration research, Market-leading legal spend and matter management, contract lifecycle management, and analytics solutions, The master resource for Intellectual Property rights and registration. 1. Protecting your client's UCC position when insolvency or bankruptcy looms, The Corporate Transparency Act's impact on law firms, Pillar 2 challenges: International Law, EU Law, Dispute Management & Tax Incentives, What legal professionals using AI can learn from the media industry, Legal Leaders Exchange: Matter intake supports more effective legal ops, Different types of liens provide creditors with different rights, Infographic: Advanced technology + human intelligence = legal bill review nirvana, Advanced Practice Nurses and Physician Assistants, Defense Health Agency Training & Support Portal, Veterans Affairs Training & Support Portal, Linking to Other Content from a Drug Monograph, Viewing Content Within Collapsible Sections. Alfentanil. When this occurred, "incompatible" was used. However, published data are specific to the concentration, solvent, ambient temperature and sometimes the composition of the syringe or infusion bag. hbbd``b`~$ tHXHVHpG$4A@a HD$@@ S ] The cost can be calculated using the average daily costof the expected clinical treatment. Conversely, for a drug molecule which can lose a proton or hydrogen ion (a Lowry-Bronsted acid - usually a weak organic acid), ionisation is achieved by formulation in a high pH solution, usually as a sodium or potassium salt (for example, benzylpenicillin sodium). I.v. All drug components in the test samples were found to be chemically stable (less than 10% loss of intact drug) for the entire period of the study under the conditions being tested, even if the study period was less than 24 hours. particulate emboli from crystallization and separation, tissue irritation due to major pH changes. View answers to our most frequently asked question. Practical information, tools and resources for health professionals and staff to help improve the quality of health care and safety for patients. For a drug molecule which acts as a proton acceptor (a Lowry-Bronsted base), ionisation is achieved by formulation in a low pH solution usually as a hydrochloride or hydrogen sulfate salt (for example, amiodarone hydrochloride or adrenaline acid tartrate). Definitions for the following types of compatibility testing are as follows: Y-site Compatibility - A single drug that is administered simultaneously at a Y-site connection with another drug in a solution Solution Compatibility - A single drug in a solution Admixture Compatibility - Two drugs in a solution Copyright 2022 - King Guide Publications, Inc. - All rights reserved. From a single drug to multiple drugs is shown in a clear easy to read format. In general, drugs should not be added to parenteral nutrition, or to blood products. Download INTRAVENOUS COMPATIBILITY CHART - Drug Information For The . Incompatibility can also occur between medications or fluids and certain types of container materials. Deputy Director, Pharmacy Department, Concord Repatriation General Hospital, Sydney. Some incompatibilities are eminently predictable from simple chemical knowledge, but most compatibilities and incompatibilities are not so easily predicted. To determine the physical intravenous Y-site compatibility of 19 commonly used medications at pediatric concentrations with 3 different types o . When two drug solutions are mixed together the absence of a visible reaction does not exclude degradation of either drug. When a drug or solution name is in the Selected Items section, a link to the Trissels monograph for that drug/solution will be displayed. Of the 196 co-infusions, 110 had additional restrictions on time in solution. How tax and accounting firms supercharge efficiency with a digital workflow, Tax pros and taxpayers take note farmers and fisherman face March 1 tax deadline, IRS provides tax relief for GA, CA and AL storm victims; filing and payment dates extended, 3 steps to achieve a successful software implementation, 2023 tax season is going more smoothly than anticipated; IRS increases number of returns processed, How small firms can be more competitive by adopting a larger firm mindset, OneSumX for Finance, Risk and Regulatory Reporting, BECRIS 2.0 How to prepare for next-level granular data reporting, Implementing Basel 3.1: Your guide to manage reforms. Drug combinations are tested for compatibility in solution. The compatibility or incompatibility of IV medication is an important consideration in drug administration, especially since it is not unusual for multiple drugs to be administered through y-site connectors on continuous infusion administration sets. ^P}M%@586:vaX-KF\6c:Zj;C8r8&}+MDU_M iVg 6qiv |fZ~d,NDF+ mTI\uPxuPh)":H"3&"Xz M9|AqouXOKX3ZuJ&!q\&`1 ,5 &l5@`,[%h6agz6SM0@ &cuu i\ M, u=UZ"UiCjJ; &0tOQsy pj/N&]W&/iqh&hIiM7DwZYm- j{jA[;N`9T`xk`U MM>)y@ofS5Nk5zv|\\)y9 ?;~20CLw}tb,G"5nDWyQ(EKQ}L%IzoJO*@z. The two types of incompatibilities associated with intravenous administration are physical and chemical.1,2, A drug interaction describes the alteration of a drug effect due to the influence of another substance (i.e. COMPATIBILITY OF DRUGS COMBINED IN A SYRINGE. Morphine: A narcotic pain reliever, morphine is used to reduce moderate to severe pain. Mixing solutions of parenteral drugs is generally not recommended because of the potential for incompatibility and consequent loss of activity of one or both drugs. Drugs in Syringe Compatibility Y-Site Injection Compatibility (1:1 Mixture) Additionally, in some cases one brand of product may be compatible but another brand of drug is not. Copyright 1993-2021 B. Braun ensures high security standards throughout the product life cycle by using globally accepted standards. Compatibility of Selected IV Drugs (continued) Acyclovir Amikacin Amiodarone Ampicillin Ampicillin-sulbactam Anidulafungin Argatroban Azithromycin Aztreonam Bivalirudin Bumetanide Calcium gluconate Caspofungin Cefazolin Cefepime Cefotaxime Cefoxitin Ceftaroline Ceftazidime Ceftizoxime Ceftriaxone Ciprofloxacin Clindamycin Daptomycin Dexamethasone Dextrose 5% in water Diazepam Diltiazem . 36 0 obj <>/Filter/FlateDecode/ID[<0362003AF2051D05883835398FF34BC1><94CA9B80B28C4046B8C68869BA50C87B>]/Index[10 53]/Info 9 0 R/Length 109/Prev 52998/Root 11 0 R/Size 63/Type/XRef/W[1 2 1]>>stream )sHQVzP` , diluent, IV container, IV lines) and the infusion regimen. In some cases, the manufacturer recommends administration of the undiluted drug. Micromedex also has free drug information and drug interaction apps. Incompatibility is present when visible or electronically-determined precipitates, particulates, haziness, turbidity, color, or gas evolution are detected. http://www.ncbi.nlm.nih.gov/pubmed/17937330, drugs and inappropriate IV solutions as diluent, two drugs (drug-drug incompatibility) when they are, drugs and adjuvants (preservative, buffer, stabilizer, solvent). Enabling tax and accounting professionals and businesses of all sizes drive productivity, navigate change, and deliver better outcomes. To view all solution and drug compatibility results for a single drug, enter the IV Drug and Click "View Compatibility". Jonathan Petersen. NPS MedicineWise disclaims all liability (including for negligence) for any loss, damage or injury resulting from reliance on or use of this information. medication compatibility chart I.v. Specialized in clinical effectiveness, learning, research and safety. Intensive Care Med; 38(6):1 008-16, 14 Gianino MM, Vallino A, Minniti D, Abbona F, Mineccia C, Silvaplana P and Zotti CM. Search for and click on a drug2. 194 0 obj <>stream IV Drug Compatibility 12+ ITDCS Ltd Designed for iPad 1.3 16 Ratings $2.99 Screenshots iPad iPhone This application provides the healthcare profession with a method of quickly checking the compatibility of any two of the following intravenous drugs at the Y-site: Acetylcysteine Adrenaline Alfentanil Aminophylline Amiodarone Aprotinin 164 0 obj <>/Filter/FlateDecode/ID[<2786D62A495E4BAFB8F09C87CC37D585>]/Index[140 55]/Info 139 0 R/Length 108/Prev 379717/Root 141 0 R/Size 195/Type/XRef/W[1 2 1]>>stream
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