IV DRUGS REQUIRING ADMINISTRATION IN CRITICAL CARE AREAS AND MONITORING FOR ADULTS Listing is by alphabetical generic drug name, except antivenoms which are listed as a class. . All drugs are to be administered by volumetric pump or syringe pump, following BHS Drug Guidelines where they exist. For drugs without a guideline check the Australian Injectable Drugs Handbook- current edition (‘Yellow Book’) for further information, including if any other monitoring (e.g. for anaphylaxis) is required. . All patients require monitoring for any adverse reaction arising from the IV administration of any drug. Exclusions . MET calls, Code Blue and Obstetric emergency
Drugs not listed; . Chemotherapeutic drugs- contact Oncology . Radiology specific pharmaceuticals (e.g. contrasts) – contact Radiology for further information Class Medical Role Nursing Allocation Drug and Monitoring A Medical 1:1 care by CCRN Alfentanil (bolus) Officer trained (does not Atracurium (bolus) in intubation administer drug). Cisatracurium (bolus) and Continuous ECG Dinoprost (Prostin F2 Alpha®)- (infusion) resuscitation monitoring and Ergometrine (bolus) administers blood pressure Ketamine (bolus) For use in ED - see CPP. drug and monitoring Mivacurium (bolus) remains at mandatory. Midazolam (bolus for anaesthetic induction and conscious sedation) bedside. Resuscitation Oxytocin (bolus) trolley (or Pancuronium (bolus) equivalent) and Phenobarbital (phenobarbitone) facilities for Propofol (bolus) invasive Remifentanil (bolus) ventilation Rocuronium (bolus) available at Thiopentone (bolus) bedside. Sugammadex (bolus) Suxamethonium (bolus) Vecuronium (bolus)
This document does not list all intravenous medications available on the market. The document will be updated periodically to reflect intravenous medications routinely stocked by BHS. Seek pharmacist advice for any unlisted drugs. CPP0544 Appendix Two IV drugs requiring administration in critical care areas and monitoring for adults Uncontrolled when printed or downloaded. IV DRUGS REQUIRING ADMINISTRATION IN CRITICAL CARE AREAS AND MONITORING FOR ADULTS Listing is by alphabetical generic drug name, except antivenoms which are listed as a class. . All drugs are to be administered by volumetric pump or syringe pump, following BHS Drug Guidelines where they exist. For drugs without a guideline check the Australian Injectable Drugs Handbook- current edition (‘Yellow Book’) for further information, including if any other monitoring (e.g. for anaphylaxis) is required. . All patients require monitoring for any adverse reaction arising from the IV administration of any drug. Exclusions . MET calls, Code Blue and Obstetric emergency
Drugs not listed; . Chemotherapeutic drugs- contact Oncology . Radiology specific pharmaceuticals (e.g. contrasts) – contact Radiology for further information Class Medical Role Nursing Allocation Drug and Monitoring B Medical 1:1 care by CCRN. Adenosine (Medical Officer must be at bedside)-See Drug Liothyrinone Officer at Continuous ECG Guideline Magnesium sulfate tetrehydrate(bolus) bedside, monitoring and Adrenaline (epinephrine) (bolus) Metaraminol (bolus) within critical blood pressure All Antivenoms Midazolam (infusion) care area or monitoring Alfentanil (infusion) Milrinone readily mandatory. Atracurium (infusion) Morphine (infusion, non PCA) available Resuscitation Calcium gluconate (bolus) Pancuronium (infusion) within trolley (or Cisatracurium (infusion) Potassium chloride (bolus) hospital. equivalent) and Clonazepam (infusion) Promethazine -IM preferred, IV use not facilities for Clonidine (infusion)- See Drug Guideline recommended invasive Dexmedetomidine Propofol (infusion) ventilation Dobutamine -See Drug Guideline Remifentanil (infusion) available. Fentanyl (infusion, non PCA) Rocuronium (infusion) Flumazenil (infusion) Sodium nitroprusside Labetalol (bolus in ischaemic stroke). See Drug Guideline, to Thiopentone (infusion) be administered by Neurology or Medical Registrar. Vecuronium (infusion) Levosimendan Vasopressin -See Drug Guideline
This document does not list all intravenous medications available on the market. The document will be updated periodically to reflect intravenous medications routinely stocked by BHS. Seek pharmacist advice for any unlisted drugs. CPP0544 Appendix Two IV drugs requiring administration in critical care areas and monitoring for adults Uncontrolled when printed or downloaded. IV DRUGS REQUIRING ADMINISTRATION IN CRITICAL CARE AREAS AND MONITORING FOR ADULTS Listing is by alphabetical generic drug name, except antivenoms which are listed as a class. . All drugs are to be administered by volumetric pump or syringe pump, following BHS Drug Guidelines where they exist. For drugs without a guideline check the Australian Injectable Drugs Handbook- current edition (‘Yellow Book’) for further information, including if any other monitoring (e.g. for anaphylaxis) is required. . All patients require monitoring for any adverse reaction arising from the IV administration of any drug. Exclusions . MET calls, Code Blue and Obstetric emergency
Drugs not listed; . Chemotherapeutic drugs- contact Oncology . Radiology specific pharmaceuticals (e.g. contrasts) – contact Radiology for further information Class Medical Role Nursing Allocation Drug and Monitoring C Medical 1:2 care by CCRN. Adrenaline (epinephrine)- See Drug Guideline. Isoprenaline -See Drug Guideline Officer within Continuous ECG Alteplase -See Drug Guideline for ischaemic stroke and Labetalol (in Obstetrics). See Drug Guideline. ECG not critical care monitoring and pulmonary embolism. For unblocking long term IV lines see mandatory. area or readily blood pressure General Wards Lidocaine (Lignocaine) available monitoring Atropine Magnesium sulphate within hospital mandatory. Calcium chloride - Infusion for asthma- See Drug Guideline Calcium gluconate (infusion for severe hypocalcaemia). See - Infusion in Obstetrics - see Drug Guideline. ECG not Drug Guideline – Critical Care Areas use. mandatory. Chlorpromazine (bolus) - Infusion for severe hypomagnesaemia)- See Drug Dextran Guideline – Critical Care Areas use. Digoxin immune fab (Digibind) Metoprolol Droperidol (doses greater than 1.25mg) Naloxone (infusion) Ephedrine Noradrenaline (norepinephrine) Esmolol Phentolamine – ECG monitoring not essential Flecainide Phenylephrine Glyceryl trinitrate- See Drug Guideline – Critical Care Areas use Praladoxime Glycopyrronium bromide (Glycopyrrolate) Haloperidol (not decanoate) Sotalol Hydralazine (obstetrics & non obstetric). See Drug Guideline. Tenecteplase ECG not mandatory. Terbutaline Hyoscine hydrobromide Verapamil
This document does not list all intravenous medications available on the market. The document will be updated periodically to reflect intravenous medications routinely stocked by BHS. Seek pharmacist advice for any unlisted drugs. CPP0544 Appendix Two IV drugs requiring administration in critical care areas and monitoring for adults Uncontrolled when printed or downloaded. IV DRUGS REQUIRING ADMINISTRATION IN CRITICAL CARE AREAS AND MONITORING FOR ADULTS Listing is by alphabetical generic drug name, except antivenoms which are listed as a class. . All drugs are to be administered by volumetric pump or syringe pump, following BHS Drug Guidelines where they exist. For drugs without a guideline check the Australian Injectable Drugs Handbook- current edition (‘Yellow Book’) for further information, including if any other monitoring (e.g. for anaphylaxis) is required. . All patients require monitoring for any adverse reaction arising from the IV administration of any drug. Exclusions . MET calls, Code Blue and Obstetric emergency
Drugs not listed; . Chemotherapeutic drugs- contact Oncology . Radiology specific pharmaceuticals (e.g. contrasts) – contact Radiology for further information Class Medical Role Nursing Allocation Drug and Monitoring D Medical 1:2 care by CCRN. Aminophylline Morphine (bolus) Officer within Continuous ECG Calcium gluconate (infusion for moderate hypocalcaemia)- Neostigmine unit. monitoring and See Drug Guideline – Critical Care Areas use Nimodipine blood pressure Clonazepam (bolus dose greater than1mg) Potassium salts -See Drug Guideline – Critical Care monitoring Dantrolene Areas use. considered. Diazepam (bolus dose greater than5mg) Protamine - See Drug Guideline Eptacog alpha (Novoseven®) Salbutamol - See Drug Guideline Eptifibatide (Integrelin®) Sodium bicarbonate (bolus) Fentanyl (bolus) Sodium chloride 3% infusion Furosemide (frusemide) (continuous infusion) -see Drug Sodium chloride 20% (requires appropriate dilution) Guideline. Sodium phosphate and potassium phosphate Glucagon (infusion) (infusion for moderate or severe Glucose 50% (infusion) hypophosphataemia)- See Drug Guideline – Critical Insulin neutral human (Actrapid®)- see Drug Guideline. Care Areas use. Insulin aspart (Novorapid®) Tirofiban Magnesium sulfate tetrehydrate(infusion for moderate Tranexamic acid hypomagnesaemia)- See Drug Guideline – Critical Care Areas use. Mannitol Metaraminol (infusion)
This document does not list all intravenous medications available on the market. The document will be updated periodically to reflect intravenous medications routinely stocked by BHS. Seek pharmacist advice for any unlisted drugs. CPP0544 Appendix Two IV drugs requiring administration in critical care areas and monitoring for adults Uncontrolled when printed or downloaded. IV DRUGS REQUIRING ADMINISTRATION IN CRITICAL CARE AREAS AND MONITORING FOR ADULTS Listing is by alphabetical generic drug name, except antivenoms which are listed as a class. . All drugs are to be administered by volumetric pump or syringe pump, following BHS Drug Guidelines where they exist. For drugs without a guideline check the Australian Injectable Drugs Handbook- current edition (‘Yellow Book’) for further information, including if any other monitoring (e.g. for anaphylaxis) is required. . All patients require monitoring for any adverse reaction arising from the IV administration of any drug. Exclusions . MET calls, Code Blue and Obstetric emergency
Drugs not listed; . Chemotherapeutic drugs- contact Oncology . Radiology specific pharmaceuticals (e.g. contrasts) – contact Radiology for further information Class Medical Role Nursing Allocation Drug and Monitoring Midazolam (bolus dose greater than 2mg)
M Medical 1:1 Midwive ratio. Ergometrine (bolus). As per Standing Order and Post Partum Haemorrhage CPP Officer Monitoring for Hydralazine (in Obstetrics) – see Drug Guideline for monitoring. available/cont each drug as Insulin actable determined by Labetalol (in Obstetrics) -see Drug Guideline for monitoring. Drug Guideline, Magnesium sulphate tetrahydrate (infusion in Obstetrics) - see Drug Guideline for monitoring. CPP or Standing Oxytocin (bolus). As per Standing Order. Order as indicated Remifentanil – see CPP Patient Controlled Analgesia (PCA) in labour using remifentanil
This document does not list all intravenous medications available on the market. The document will be updated periodically to reflect intravenous medications routinely stocked by BHS. Seek pharmacist advice for any unlisted drugs. CPP0544 Appendix Two IV drugs requiring administration in critical care areas and monitoring for adults Uncontrolled when printed or downloaded.