Parenteral Manual

Administration of IV Meds





All IV medications can be administered by registered nurses or respiratory therapists throughout CHEO.  Some medications have further guidelines as listed below.


 Guidelines exist as follows:


  1. Chemotherapy/Antineoplastic medications - administered by nurses trained to administer antineoplastic drugs
  2. Medications administered by a nurse or respiratory therapist  with a physician accessible and available. These medications are only administered in PICU, ED, PACU, OR, NICU, DIAGNOSTIC IMAGING and the CATH LAB:


·   Abciximab                            

·   Amiodarone                            

·   Bretylium tosylate

·   Cisatracurium

·   Dobutamine  

·   Dopamine                             

·   Digoxin                       

·   Epinephrine HCL (continuous infusion)

·   Esmolol                                

·   Isoproterenol HCL            

·   Lidocaine HCL

·   Midazolam (continuous infusion)

.   Milrinone                             

·   Nitroglycerin

·   Nitroprusside sodium                

·   Norepinephrine bitartrate       

·   Pancuronium bromide

·   Procainamide HCL                      

·   Propafenone                        

·   Propofol

·   Rocuronium                         

·   Sodium chloride 3% (hypertonic)    

·   Succinylcholine chloride

·   Sufentanil                             

·   Vasopressin                         

·   Verapamil HCL


3.  Medications administered by a nurse or respiratory therapist with a physician at patient bedside or by a neonatal transport team member

·         Adenosine

Created:   August 19, 2009  Approved by P&T:  September/2009 Revised:  May/2011


Please be advised that the on-line CHEOnet version of this manual is the most up to date version. All directors responsible for the area need to ensure that the most up to date information is printed and placed in the manual.

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CHEO has made every effort to ensure that the information contained on this website is as current and accurate as possible. However, changes can occur due to ongoing research and the constant influx of new information. Where possible, hospitals and healthcare practitioners should verify the information before acting on it.

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