IV Guidelines

This is a simplified chart to highlight the floor restrictions for each medication. Click this link for more details:

https://sccconnect.sharepoint.com/sites/pharmacy-and-therapeutics/IVGuidelines/SitePages/SCVMC-IV-Guidelines.aspx

Drug Name (Brand)Step DownMed-Surg/RehabL&D/MICC
AcetaminophenIVPBIVPBIVPB
(Ofirmev)   
AcetazolamideIVPushIVPush–
(Diamox)IVPBIVPB 
Acetylcysteine 20%IVPBIVPB–
(Acetadote)LVPLVP 
AcyclovirIVPBIVPBIVPB
(Zovirax®)   
Adenosine PhosphateRRT or Code Blue OnlyRRT or Code Blue OnlyRRT or Code Blue Only
(Adenocard®)   
Alteplase (CathFlo)IV catheter dwellIV catheter dwellIV catheter dwell
    
Albumin IVPBIVPBIVPB
AminophyllineIVPBIVPBIVPB
 IV-DripIV-DripIV-Drip
AmiodaroneIVPBRRT or Code Blue OnlyRRT or Code Blue Only
(Cordarone®)IV-Drip  
 (IVPush-code only)  
Ampicillin IVPBIVPBIVPB
 IVPushIVPushIVPush
LiposomalIVPBIVPBIVPB
Amphotericin B   
(AmBisome®)    
Amphotericin BIVPBIVPBIVPB
(Fungizone®)   
ArgatrobanIV-DripIV-Drip–
AtropineIVPush RRT or Code Blue OnlyRRT or Code Blue Only
    
BumetanideIVPBIVPB–
(Bumex®)IVPushIVPush 
 IV-Drip  
Calcium ChlorideIVPBIVPBIVPB
 LVPLVPLVP
 IV-Drip  
Calcium GluconateIVPBIVPBIVPB
 LVPLVPLVP
 IV-Drip  
Chlorothiazide (Diuril®)IVPBIVPBIVPB
    
Chlorpromazine (Thorazine®) IVpushIVpush–
 IVPBIVPB 
Cidofovir (Vistide®)IVPBIVPB–
    
Cosyntropin (Cortrosyn®)IVPushIVPushIVPush
 IVPBIVPBIVPB
Desmopressin (DDAVP)IVPushIVPBIVPush
 IVPB IVPB
Dexamethasone (Decadron®)IVPushIVPushIVPush
 IVPBIVPBIVPB
Dextran 40 (Rehomacrodex®)LVPLVPLVP
    
Dextrose 50% IVPush IVPush IVPush 
Diazepam (Valium®) IVPush IVPush IVPush 
    
DigoxinIVPush IVPush –
Digoxin Immune Fab (Digifab)IVPB––
    
Diltiazem (Cardizem®) IVPushIVPush –
 IV-Drip   
Diphenhydramine (Benadryl®)IVPushIVPushIVPush
 IVPBIVPBIVPB
Enalaprilat (Vasotec®)IVPushIVPushIVPush
 IVPBIVPBIVPB
Epinephrine HClRRT or Code Blue OnlyRRT or Code Blue OnlyRRT or Code Blue Only
Epoetin Alfa IVPushIVPush–
Eptifibatide (Integrilin®)IVPush––
 IV-Drip  
Estrogen, Conjugated (Premarin®)IVPushIVPush–
Ethacrynate Sodium (Ethacrynic Acid) (Edecrin®)IVPushIVPushIVPush
 IVPBIVPBIVPB
FamotidineIVPushIVPushIVPush
(Pepcid®) IVPBIVPBIVPB
Fentanyl CitrateIVPush–IVPush
Ferric Sodium Gluconate (Ferrlecit®) IVPBIVPBIVPB
    
    
Filgrastim IVPushIVPush–
(Neupogen, Zarxio®)     
FlumazenilIVPushIVPushIVPush
(Romazicon®)    
Folic Acid  IVPushIVPushIVPush
 IVPBIVPBIVPB
Foscarnet SodiumIVPBIVPB–
(Foscavir®)    
FOSphenytoin SodiumIVPBIVPBIVPB
 IVPush IVPush
(Cerebyx®)    
FurosemideIVPushIVPushIVPush
 IVPBIVPBIVPB
(Lasix®) IV-Drip  
Ganciclovir SodiumIVPBIVPB–
(DHPG®, Cytovene®)   
GlucagonIVPushIVPushIVPush
 IV-Drip  
(GlucaGen®)   
GlycopyrrolateIVPush IVPushN/A
(Robinul®)    
Granisetron HCL IVPushIVPush–
(Kytril®)     
Haloperidol (Haldol®) IVPush––
    
Heparin SodiumIVPushIVPushIVPush
 IV-DripIV-DripIV-Drip
hydralazine HClIVPushIVPushIVPush
(Apresoline®)   
Hydrocortisone Sodium SuccinateIVPushIVPushIVPush
(Solu-Cortef®) IVPBIVPBIVPB
 IV-DripIV-DripIV-Drip
Hydromorphone HClIVPushIVPushIVPush
 IV-DripIV-Drip 
(Dilaudid®) PCAPCA 
Hypertonic Saline (3%)IVPB––
 LVP  
Ibutilide FumarateIVPB––
(Covert®)    
Immune GlobulinIVBPIVPB–
(Flebogamma®, Gamunex-C®)   
Insulin – Regular Insulin IV PushIVPushIVPush–
(Novolin R®, Humulin R®)    
Insulin, Regular InfusionIV-Drip–IV-Drip 
(Novolin R®, Humulin R®)    
Iron DextranIVPBIVPBIVPB
 IVPush – test dose onlyIVPush – test dose onlyIVPush – test dose only
(Infed®)    
Iron SucroseIVPBIVPBIVPB
 IVPushIVPushIVPush
(Venofer®)    
Ketorolac TromethamineIVPushIVPushIVPush
(Toradol®)    
Labetalol HClIVPushIVPushIVPush
(Normodyne®, Trandate®)    
LacosamideIVPBIVPB–
levETIRAcetamIVPBIVPBIVPB
 IVPushIVPushIVPush
(Keppra®)    
Levothyroxine SodiumIVPushIVPushIVPush
(Synthroid®)    
Lidocaine HCl 1%IVPBIVPBIVPB
(Xylocaine 1%®)    
Lidocaine HCl 2%IV-DripRRT or Code Blue OnlyRRT or Code Blue Only
 IV Bolus  
(Xylocaine PF®) IV-Push  
Lorazepam IVPushIVPushIVPush
(Ativan®)    
Magnesium SulfateIVPBIVPBIVPB
 LVPLVPIV-Drip
MannitolIVPushIVPush–
 IVPBIVPB 
MeperidineIVPushIVPushIVPush
(Demerol®)    
MethyldopaIVPBIVPBIVPB
(Aldomet®)    
Methylprednisolone Sodium Succinate IVPushIVPushIVPush
 IVPBIVPBIVPB
(Solu-Medrol®) LVPLVPLVP
Metoclopramide HClIVPushIVPushIVPush
 IVPBIVPBIVPB
(Reglan®)    
Metoprolol Tartrate IVPushIVPushIVPush
(Lopressor®)   
MidazolamIVPush (only with O2 sat, RR and BP monitor)RRT or Code Blue only–
    
(Versed®)    
Milrinone LactateIVPB––
 IV-Drip  
(Primacor®)    
Morphine SulfateIVPushIVPushIVPush
 IV-DripIV-DripPCA
 PCAPCA 
Multivitamin InfusionIVPBIVPBIVPB
 LVPLVPLVP
(MVI-12®)    
Nalbuphine (NuBAIN)IVPushIVPushIVPush
    
Naloxone (Narcan)IV PushIV PushIV Push
 IV-Drip IV-Drip
Neostigmine (Prostigmine)IV Push––
    
Nitroglycerin (Tridil)IV-DripRRT or Code Blue onlyRRT or Code Blue only
    
    
Octreotide AcetateIVPushIVPush–
  IV-Drip  
(Sandostatin®) IVPB  
 IV-Drip   
OndansetronIVPushIVPushIVPush
 IVPBIVPBIVPB
(Zofran®)    
Oxytocin–IV-DripIV-Drip
(Pitocin®)   
Pamidronate DisodiumIVPBIVPB–
(APD, Aredia®)     
Pantoprazole SodiumIVPushIVPushIVPush
(Protonix®) IVPBIVPBIVPB
 IV-DripIV-DripIV-Drip
Pentamidine IsethionateIVPB––
(Pentam®)    
PhentolamineIVPushIVPush–
(Regitine®)    
Phenobarbital SodiumIVPushIVPushIVPush
(Luminal®) IVPBIVPBIVPB
Phenytoin SodiumIVPBIVPBIVPB
(Dilantin®)    
Phytonadione IVPBIVPB–
Potassium ChlorideIVPBIVPBIVPB
Potassium Acetate    
Potassium Phosphate IVPBIVPBIVPB
    
Procainamide HCL«IVPBRRT or Code Blue Only–
 IV-Drip  
(Pronestyl®)    
ProchlorperazineIVPushIVPushIVPush
(Compazine®)    
Promethazine–––
(Phenergan®)    
PropranololIVPushIVPush–
(Inderal®)    
Protamine Sulfate IVPushIVPushIVPush
 IVPBIVPBIVPB
Rh Immune Globulin IVPushIVPushIVPush
(WinRho®)    
Rifampin IVPBIVPBIVPB
Sodium Bicarbonate IVPushIVPushIVPush
 IVPBIVPBIVPB
 LVPLVPLVP
Sodium Chloride 3%(Hypertonic Saline)IV-Drip––
    
    
Sodium ThiosulfateIVPBIVPBIVPB
    
Terbutaline ––IVPush
(Brethine®)    
Thiamine HClIVPBIVPBIVPB
 IVPushIVPushIVPush
(Vitamin B1) LVPLVPLVP
TorsemideIVPushIVPush–
(Demedex®) IV-Drip  
Tranexamic acid (CYKLOKAPRON®)IVPBIVPBIVPB
 IVPush IVPush
Acronym: TXA    
Trimethoprim/ SulfamethoxazoleIVPBIVPBIVPB
(Septra®/ Bactrim®/ Co-trimoxazole®)    
Verapamil HClIVPush––
(Isoptin®)    
Zidovudine (AZT) ––IVPB
Zoledronic Acid (Zometa®) IVPBIVBPIVPB