amiodarone in D5W

[rwolfer at aol.com]

No problem that is one of the helpful things of the list.  I am very very lucky to have Pharm D at the hospital who love to get involved clinically and are available 24 / 7 and feel there is no such thing as a stupid or ridiculus question.  I often call and ask what are the side effects of drug y or what is the best choice of 2 agents.  Makes life much easier


Rebecca Wolfer, MD, FACS, FCCP
Associate Professor, Marshall University School of Medicine
Dept of Surgery
Director Thoracic Surgery
Director, Surgical Critical Care Cabell Huntington Hospital
Director, Trauma Cabell Huntington Hospital


-----Original Message-----
From: Marco Victor Hermeto <hermetomv at gmail.com>
To: Trauma &amp; Critical Care mailing list <trauma-list at trauma.org>
Sent: Wed, 7 Nov 2007 5:06 pm
Subject: Re: amiodarone in D5W


rwolfer at aol.com escreveu: 
It´s an important info to me. 
Thanks 
Marco V Hermeto 
> No it reacts with polyethlene if kept in there for over one hour is what our pharmcy says.?? You can mix it up and? give over a 10 or so minute bolus but not a drip.? > 
> RW 
> 
> 
> -----Original Message----- 
> From: Marco Victor Hermeto <hermetomv at gmail.com> 
> To: Trauma & Critical Care mailing list <trauma-list at trauma.org> 
> Sent: Wed, 7 Nov 2007 4:31 pm 
> Subject: Re: amiodarone in D5W 
> 
> 
> rwolfer at aol.com escreveu:? 
> >> Amiodarone needs to be mixed in glass, it is incompatble with plastic. the only fluid that comes in glass is D5W. If giving a bolus it can be mixed in plastic and given rapidly ie over 10 minutes. However the drip must be made in glass as it precipitates in plastic. It is not the saline but the plastic. It is however incompatible with heparin.? this is per my pharmD.? It is very handy to have a pharmD on the service. they always know the answers to the incompatabilty questions.?? >? 
>> ? 
>> Rebecca Wolfer, MD, FACS, FCCP? 
>> Associate Professor, Marshall University School of Medicine? 
>> Dept of Surgery? 
>> Director Thoracic Surgery? 
>> Director, Surgical Critical Care Cabell Huntington Hospital? 
>> Director, Trauma Cabell Huntington Hospital? 
>> ? 
>> But can amiodarone be mixed with NaCl or D5W in Ecoflac containers? Ecoflac is made from low density polyethylene that not cause precipitation of many drugs.? 
>> > Marco V Hermeto? 
> >From br? 
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