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Nursing Drug Handbook 2021 PDF

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IV Compatibilities The IV compatibility table provides data when 2 or m a mtpchprhharaooavytriesfnoeei gcns nemas.o ilToe t idhninbniea ecc lea cojntoumdi oldaoipngntraasec)t mli.aub inrediTel nei htttdgih eesi,irv shsaes oopn(tu ee aliwu.bdngtlh .ieba,ce e nhYl a ei-anursxzgciseeteioer,n lmc ygopi spfrrte eahaedctdepi.ib mprtieialitsinbateiitlensees-,t, Dextrose 5% Sodium Chloride Acyclovir Amikacin Amiodarone Anidulafungin Argatroban Azithromycin Aztreonam Bivalirudin Bumetanide Calcium Gluconate Cefazolin Cefepime Ceftaroline Fosamil Ceftriaxone Ciprofloxacin Clindamycin Daptomycin Dexamethasone Dexmedetomidine Diltiazem Diphenhydramine Dobutamine Dopamine Enalapril Epinephrine Eptifibatide Esmolol Famotidine Fluconazole Furosemide Gentamicin Granisetron Heparin Hydrocortisone Hydromorphone Imipenem Insulin Labetalol Levofloxacin Linezolid Lorazepam Magnesium Mannitol Meropenem Methylprednisolone Metoclopramide Metronidazole Midazolam Morphine Nicardipine Nitroglycerin Nitroprusside Norepinephrine Octreotide Ondansetron Pantoprazole Phenylephrine Piperacillin/Tazobact Potassium Chloride Propofol Sodium Bicarbonate Tigecycline Tobramycin Vancomycin Vasopressin Acyclovir C C — C N C N N I N N N C N C C N C N C N I C I I N N N N C C N C C C C C C N N I C C C N I C C C N C N N N N N I N N I C C C N C C N Amikacin C C C — C C N I C C N C C C C C C C C C C C C N N C C N C N C C N C I C C N N C C C C C C N N N N C C C N N C N C I N N C I C C N C N Amiodarone C C N C — N I N N N N C I N C C C C N N C N N C C N C C C C C C C N I N N I C C N N C I N N C N N C C N C I C N N I C I C N I N C C C Anidulafungin C C C C N — N N N N N N C C N C C C N C N N N C C N C N N C C C C N C C N C N N C C N N N C C N C C C N N N C N N C C C C N I N C C N Argatroban C C N N I N — N N N N N N N N N N N N N N C C C C N N C N N N C N N N C N N N N N N N N N N N N N C C N C C C N N N C N N N N N N N C Azithromycin C C N I N N N — I C N N N N C I I I N N C N N N N N N N N I N I I N N N N I N N I N N N N N N N N N I N N N N N C N N I I N N C I N N g Aztreonam C C I C N N N N — C C N C N N C C C C C C C C C C C N N N C C C C C C C C C C N N C I C C N C C I N C C N N N N C I N C C C C N C C N n cti Bivalirudin C C N C I N N C C — C C C C N C C C N C N C C C C C C C C C C C C N C C C N N C C N C C C N C C C C C N C C C N N N C C C N C N C I N fli nistration. able or con BCCaeulfmcaiezuotmalinn Gidlueconate CCC CCC NNC NCC NCI NNC NNN NNN CCC CCC —NN —NC —NC NNN NCC NNI NNC NNC NNN NNN CCC NCC NNN NCI NNN NCC NNC NNN NNC NCC NCI NCC NNI CCC NCC NNC NNI NNN NNC NCC NNN NCC NNC NCC NNN NNC NNI NNI NNC CCI NCC NCC NNN NNN NNC NNN NNC NCI NNN NCC NCI NCC NNC NNN NNC NCI NNN mi ail Cefepime C C N C N C N N N C N N N — N N N C N N C N N I C N N N N N C C C C C N N N C N N N N N N N C N C I C I N N N N N N N N C I N I I C N d v a a Ceftaroline Fosamil C C C C C N N C N N C C N N — N C N N C N C C I C C N N N C C C C C C C C N C I C N C C C N C C C C C N N N C N C C N N C C C N C N C e via Y-site ble.atibility not CCCleiepfvrtoridiflaiopxoxinanecein CCC CCC NNC NCC NCC NCC NNN NII NCC NCC NNN NCI NNN NNN NNC —NN —NN NII NNC NNI NCC NCC NNC NNC NNC NNN NNN NNN NNN NNC NNI NNI NNC NCC NCI NNI NNN NNN NNN NNI NNN NCC NNC NNI NNN NNN NNI NNC NNC NNC NNC NNN NNN NNN NNC NNN NNN NCI NNN NNN NNC NNC NCI NCC NNC NNI NCC y compatibly incompation on comp CDDlaeinpxdatoammmeyytchciainnsone CCI CCC NCC CCC NNC NCC NNN NNI CCC NCC NNN NNN NNC NNC NCC NCI NII —NN —NN —NN NCC NNC NNI NNN NNC NNC NNN NNN NNC NNC CCI NNN NCC NCC CCC NCC NCC NNN NNN NNC CCC NCC NNC NNC NNN NNC NNC NCC NNN NCI NCC NNC NNN NNN NNN NNN NCC NNN NNC NCC NCC NCC NCC NNN NNC NNN NNN allallati Dexmedetomidine C C N C C N N C C N C C C C N C C C N C — C C C C N C N C C C C C C C N C N N C C C C C N N C C C C C N C C C N C N C C C C C N C C N ccm ysiysior Diltiazem C C I C N N C N C C C N C N C C C C N N C — N C N N C N C N C I C N C C C C N C N N C N N N I C C C C C C C C N N N N N C N I N C C C C PhI PhN Inf Diphenhydramine C C C C N N C N C C N N N N C N C N N I C N — N N N N N N C C N N C C N C C N N N C N N N C N C N C C N N N N N C I N C C C N N N N N Dobutamine C C I N C C C N C C I C N C I N C N N N C C N — C C C N N C C I N C C N C N C C C C C C N N N N N C C C C C C N N I N I C C N C N N C Dopamine C C I N C C C N C C N N N C C N C N C N C C N C — C C N C C C I N C C C C N I C C C C N N N C N C C C C C C C N C C N C C C N C N N C Enalapril C C N C N N N N C C N C C N C N N C N N C N N C C — N N C C N N C C C C N N N C N C N C N C C N C N C C C C N N N N N C C C N N N C N Epinephrine C C N C C C N N N C N C N N N N N N N N C C N C C N — N N N N C N N C C C N N C C N C N N N N N N C C C C C C N N I N N N C I C N N C Eptifibatide C C N N C N C N N C N N N N N N N N N N N N N N N N N — N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N Esmolol C C N C C N N N N C N N C N N N N C N N C C N N C C N N — C N I C N C C N N C C N C N C N N N N C N C C C C C N N I N N C C C N C C N Famotidine C C C N C C N I C C N C C N C C N N N C C N C C C C N N C — C C C C C C C C C C N C C C N N C C N C C C C C C N N N C I C C C N N C N Fluconazole C C C C C C N N C C N I C C C I N I C C C C C C C N N N N C — I C C C N N I N N N N C N N C N C C C C N C N N N C I N C C C N C C C C Furosemide C C N C C C C I C C C C N C C N I N N N C I N I I N C N I C I — I C C C C N N I I C C N C C N I N C C I I C C N C C I C C C C N C N I Gentamicin C C C N C C N I C C N N I C C N C C C N C C N N N C N N C C C I — C I N C N C C C C C C N C N N N C C C N N N N C N N N C I N C N N C Granisetron C C C C N N N N C N C C C C C C C C N C C N C C C C N N N C C C C — C C C C N N N C C C N N C C C N C N N N N N N N N C N N C N C N N IV Compatibilities The IV compatibility table provides data when 2 or m a mtpchprhharaooavytriesfnoeei gcns nemas.o ilToe t idhninbniea ecc lea cojntoumdi oldaoipngntraasec)t mli.aub inrediTel nei htttdgih eesi,irv shsaes oopn(tu ee aliwu.bdngtlh .ieba,ce e nhYl a ei-anursxzgciseeteioer,n lmc ygopi spfrrte eahaedctdepi.ib mprtieialitsinbateiitlensees-,t, Dextrose 5% Sodium Chloride Acyclovir Amikacin Amiodarone Anidulafungin Argatroban Azithromycin Aztreonam Bivalirudin Bumetanide Calcium Gluconate Cefazolin Cefepime Ceftaroline Fosamil Ceftriaxone Ciprofloxacin Clindamycin Daptomycin Dexamethasone Dexmedetomidine Diltiazem Diphenhydramine Dobutamine Dopamine Enalapril Epinephrine Eptifibatide Esmolol Famotidine Fluconazole Furosemide Gentamicin Granisetron Heparin Hydrocortisone Hydromorphone Imipenem Insulin Labetalol Levofloxacin Linezolid Lorazepam Magnesium Mannitol Meropenem Methylprednisolone Metoclopramide Metronidazole Midazolam Morphine Nicardipine Nitroglycerin Nitroprusside Norepinephrine Octreotide Ondansetron Pantoprazole Phenylephrine Piperacillin/Tazobact Potassium Chloride Propofol Sodium Bicarbonate Tigecycline Tobramycin Vancomycin Vasopressin Heparin C C C I I C N N C C N C C C C C I C C C C C C C C C C N C C C C I C — C C N C C I C C C N C C C C C C I C C C N C I N C C C C C I I C Hydrocortisone C C C C N C C N C C N C N N C N I C N C N C N N C C C N C C N C N C C — N N N N N C C C N N N N N I C C N N C N C N N C N C C N N N N Hydromorphone C C C C N N N N C C N N I N C N N C N C C C C C C N C N N C N C C C C N — N N C N C C C N N N N C C C C C N C N C I N C N C N N C C N Imipenem C C C N I C N I C N N N N N N N N N N N N C C N N N N N N C I N N C N N N — C N N C I N N N N N N I N N N N N N C N N N N C I C N N C Insulin N C N N C N N N C N N N C C C N N N N N N N N C I N N N C C N N C N C N N C — I C N N C N C N N N N C N C N N N N C N N N C C N C C C Labetalol C C N C C N N N N C N C C N I I N C N N C C N C C C C N C C N I C N C N C N I — N C C C N N N N C C C C C C C N N N N N C C N N C C N ng Levofloxacin C C I C N C N I N C N N N N C N N C C C C N N C C N C N N N N I C N I N C N I N — C C C N N N N N N C N I I N N N N C N C N C N N C N fl icti Linezolid C C C C N C N N C N N C C N N C C C N C C N C C C C N N C C N C C C C C C C N C C — C C C C C N C C C C C N N N C N N C C N C C C C C nistration. able or con LMMoaaragnznneeitpsoailumm —NC —CC NCC CCC NCI NNN NNN NNN CCI CCC NNC NNC NNC NNN CCC NNN NCI NNC NNN NNC NCC NNC NNN NCC NNC NNC NNC NNN NNC NCC NNC NCC NCC NCC NCC NCC NCC NNC NNC NCC NCC CCC —NN —NN —NN NNN NNN NNN NCC NNC NCC NCC NNC NNC NNC NNN NCI NNI NNN NCC CCC CCC NNN NNN NNC NCC NNN mi ail Meropenem N C I N N C N N N N N C N N N N N N N C N N C N N C N N N N C C C N C N N N C N N C N N N — N C N N C N N N C N I N N N C N N N N C C d v a a Methylprednisolone C C C N C C N N C C N I N C C N I C N N C I N N C C N N N C N N N C C N N N N N N C N N N N — N C C C C N N N N I I N C I I C I N N N e via Y-site ble.atibility not MMMeeidttaorozcnoloildapamrazomleide —CC —CC NCC NNC NNC NCC NNC NNN NCI CCC NNI NCI NCC NCI CCC NNN CCC NCC NNN NCI CCC CCC NCC NNC NCC NNC NNC NNN NNC NCC CCC NCI NNC NCC CCC NNI NCC NNI NNN NCC NNN NCC NCC NNC NNN NNC NCC —NC —NN —CC CCC NCC NNC NNC NNC NNN NNC NNI NNN NCC NNC NNC NNI NNC NNC NNC NNC y compatibly incompation on comp NNMiioctrraoprghdliiynpceineerin CCC CCC NNC NCC NCC NNC NCC NNI NCC NCC NNC NNC NCC NCI NNC NNC NNN NCC NNN NNC NCC CCC NNC CCC CCC CCC CCC NNN CCC CCC NCC CII NCC NNC CCI NCC CCC NNN NCC CCC NCI CCC CCC NCC NNN NNC NCC NNC NCC CCC —CC —CC —CC CCC CCC NNN NNC NCC NNN NNC NCC NCC NNC NNN NCC NCC NNC allallati Nitroprusside C C N N I N C N N C N N N N N N N N N N C C N C C C C N C C N C N N C N N N N C I N N C N N N N N C C C C — C N N N N N N C N N N N N ccm ysiysior Norepinephrine C C N C C C C N N C N C N N C N C N N N C C N C C N C N C C N C N N C C C N N C N N C N N C N N N C C C C C — N N C N N C C N N N N C C PhI PhN Inf Octreotide C C N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N — N I N N N N N N N N N Ondansetron C C I C N N N C C N N N C N C N N C N C C N C N C N N N N C C C C N C C C C N N N C I C N I I C N N C N N N N N — N N C C N I N N C N Pantoprazole C C N I I C N N I N N I C N C C I N N I N N I I C N I N I N I C N N I N I N C N N N N N I N I N N I C N C N C I N — N N C N N N N I C Phenylephrine C C N N C C C N N C N N N N N N N N N N C N N N N N N N N C N I N N N N N N N N C N N N N N N N N N N N N N N N N N — N N N N N N N C Piperacillin/Tazobactam C C I N I C N I C C C C N N N N N C N C C N C I C C N N N I C C N C C C C N N N N C C C N N C C C N C N N N C N C N N — C N C C I I C Potassium Chloride C C C C C C N I C C N C N C C N C C N C C C C C C C N N C C C C C N C N N N N C C C C C C C I N N C C C N C C N C C N C — C C C N N N Propofol C C C I N N N N C N C C C I C C N C N C C N C C C C C N C C C C I N C C C C C C N N C C C N I N N C C N C C C N N N C N C — C N I C N Sodium Bicarbonate C C C C I I N N C C N C N N C C I C N C C I N N N N I N C C N C N C C C N I C N C C N N N N C N N I C N N N N N I N N C C C — N N C C Tigecycline C C N C N N N C N N N N N I N C C N N N N N N C C N C N N N C N C N C N N C N N N C N N N N I C N N N N N N N N N N N C C N N — C C N Tobramycin C C C N C C N I C C N C N I C N C C N N C C N N N N N N C N C C N C I N C N C C N C N C N N N N N C C C N N N N N N N I N I N C — N N Vancomycin C C C C C C N N C I N C I C N I N N N N C C N N N C N N C C C N N C I N C N C C C C C C N C N N N C C C N N N N C I N I N C C C N — N Vasopressin — C N N C N C N N N N N N N C N C N N N N C N C C N C N N N C I C N C N N C C N N C N N N C N N C N N N C N C N N C C C N N C N N N — Saunders NURSING DRUG HANDBOOK 2021 This page intentionally left blank Saunders NURSING DRUG HANDBOOK 2021 ROBERT J. KIZIOR, BS, RPH KEITH J. HODGSON, RN, BSN, CCRN Department of Pharmacology Staff Nurse, Intensive Care Unit Alexian Brothers Medical Center Former Staff Nurse, Emergency Elk Grove Village, Illinois Department St. Joseph’s Hospital Tampa, Florida Elsevier 3251 Riverport Lane St. Louis, Missouri 63043 SAUNDERS NURSING DRUG HANDBOOK 2021 ISBN: 978-0-323-75728-7 ISSN: 1098-8661 Copyright © 2021 by Elsevier, Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organi- zations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions. This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein). Notice Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. Because of rapid advances in the medical sci- ences, in particular, independent verification of diagnoses and drug dosages should be made. To the fullest extent of the law, no responsibility is assumed by Elsevier, authors, editors, or contributors for any injury and/or damage to persons or property as a matter of products liability, negligence, or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein. Previous editions copyrighted © 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997, 1996, 1995, 1994, and 1993. International Standard Book Number: 978-0-323-75728-7 Executive Content Strategist: Sonya Seigafuse Senior Content Development Manager: Lisa Newton Senior Content Development Specialist: Tina Kaemmerer Publishing Services Manager: Catherine Jackson Senior Project Manager/Specialist: Carrie Stetz Design Direction: Bridget Hoette Printed in the United States of America Last digit is the print number: 9 8 7 6 5 4 3 2 1 CONTENTS DRUGS BY DISORDER xiv DRUG CLASSIFICATIONS 1C A–Z DRUG ENTRIES 1 APPENDIXES 1256 A. C alculation of Doses 1256 B. C ontrolled Drugs (United States) 1257 C. Wound Care 1258 D. D rugs of Abuse 1263 E. Equianalgesic Dosing 1270 F. H erbals: Common Natural Medicines 1271 G. L ifespan, Cultural Aspects, and Pharmacogenomics of Drug Therapy 1278 H. N ormal Laboratory Values 1282 I. Drug Interactions 1284 J. Antidote/Reversal Agents 1289 K. P reventing Medication Errors and Improving Medication Safety 1294 L. P arenteral Fluid Administration 1298 M. C ommon Terminology Criteria for Adverse Events (CTCAE) 1301 INDEX 1303 v AUTHOR BIOGRAPHIES Robert (Bob) J. Kizior, BS, RPh Bob graduated from the University of Illinois School of Pharmacy and is licensed to practice in the state of Illinois. He has worked as a hospital pharmacist for more than 40 years at Alexian Brothers Medical Center in Elk Grove Village, Illinois—a suburb of Chicago. Bob is the Pharmacy Surgery Coordinator for the Department of Pharmacy, where he participates in educational programs for pharmacists, nurses, physicians, and patients. He plays a major role in coordinating pharmacy services in the OR satel- lite. Bob is a former adjunct faculty member at William Rainey Harper Community College in Palatine, Illinois. An avid sports fan, Bob also has eclectic tastes in music that range from classical, big band, rock ‘n’ roll, and jazz to country and western. Bob spends much of his free time reviewing the professional literature to stay current on new drug information. Keith J. Hodgson, RN, BSN, CCRN Keith was born into a loving family in Chicago, Illinois. His mother, Barbara B. Hodg- son, was an author and publisher of several medication products, and her work has been a part of his life since he was a child. By the time he was 4 years old, Keith was already helping his mother with the drug cards by stacking the draft pages that were piled up throughout their home. Because of his mother’s influence, Keith contemplated becoming a nurse in college, but his mind was fully made up after he shadowed his sister in the Emergency Depart- ment. Keith received his Associates Degree in Nursing from Hillsborough Community College and his Bachelor of Science in Nursing from the University of South Florida in Tampa, Florida. Keith started his career in the Emergency Department and now works in the Trauma / Neurological/Surgical Intensive Care Unit at St. Joseph’s Hospital in Tampa, Florida. Keith’s favorite interests include music, reading, Kentucky basketball, and, if he gets the chance, watching every minute of the Olympic Games. vi REVIEWERS James Graves, PharmD Travis E. Sonnett, PharmD Clinical Pharmacist Inpatient Pharmacy Supervisor University of Missouri Hospital Mann-Grandstaff VA Medical Center; Columbia, Missouri Residency Program Director Washington State University College of Pharmacy Spokane, Washington vii

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