Administration of IV Meds

ADMINISTRATION OF INTRAVENOUS MEDICATIONS

NOTE: REFER TO INDIVIDUAL MONOGRAPHS FOR APPROPRIATE DOSE AND ADMINISTRATION INFORMATION

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