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 Down	Med-Surg/Rehab	L&D/MICC
Acetaminophen	IVPB	IVPB	IVPB
(Ofirmev)
Acetazolamide	IVPush	IVPush	–
(Diamox)	IVPB	IVPB
Acetylcysteine 20%	IVPB	IVPB	–
(Acetadote)	LVP	LVP
Acyclovir	IVPB	IVPB	IVPB
(Zovirax®)
Adenosine Phosphate	RRT or Code Blue Only	RRT or Code Blue Only	RRT or Code Blue Only
(Adenocard®)
Alteplase (CathFlo)	IV catheter dwell	IV catheter dwell	IV catheter dwell
Albumin	IVPB	IVPB	IVPB
Aminophylline	IVPB	IVPB	IVPB
	IV-Drip	IV-Drip	IV-Drip
Amiodarone	IVPB	RRT or Code Blue Only	RRT or Code Blue Only
(Cordarone®)	IV-Drip
	(IVPush-code only)
Ampicillin	IVPB	IVPB	IVPB
	IVPush	IVPush	IVPush
Liposomal	IVPB	IVPB	IVPB
Amphotericin B
(AmBisome®)
Amphotericin B	IVPB	IVPB	IVPB
(Fungizone®)
Argatroban	IV-Drip	IV-Drip	–
Atropine	IVPush	RRT or Code Blue Only	RRT or Code Blue Only
Bumetanide	IVPB	IVPB	–
(Bumex®)	IVPush	IVPush
	IV-Drip
Calcium Chloride	IVPB	IVPB	IVPB
	LVP	LVP	LVP
	IV-Drip
Calcium Gluconate	IVPB	IVPB	IVPB
	LVP	LVP	LVP
	IV-Drip
Chlorothiazide (Diuril®)	IVPB	IVPB	IVPB
Chlorpromazine (Thorazine®)	IVpush	IVpush	–
	IVPB	IVPB
Cidofovir (Vistide®)	IVPB	IVPB	–
Cosyntropin (Cortrosyn®)	IVPush	IVPush	IVPush
	IVPB	IVPB	IVPB
Desmopressin (DDAVP)	IVPush	IVPB	IVPush
	IVPB		IVPB
Dexamethasone (Decadron®)	IVPush	IVPush	IVPush
	IVPB	IVPB	IVPB
Dextran 40 (Rehomacrodex®)	LVP	LVP	LVP
Dextrose 50%	IVPush	IVPush	IVPush
Diazepam (Valium®)	IVPush	IVPush	IVPush
Digoxin	IVPush	IVPush	–
Digoxin Immune Fab (Digifab)	IVPB	–	–
Diltiazem (Cardizem®)	IVPush	IVPush	–
	IV-Drip
Diphenhydramine (Benadryl®)	IVPush	IVPush	IVPush
	IVPB	IVPB	IVPB
Enalaprilat (Vasotec®)	IVPush	IVPush	IVPush
	IVPB	IVPB	IVPB
Epinephrine HCl	RRT or Code Blue Only	RRT or Code Blue Only	RRT or Code Blue Only
Epoetin Alfa	IVPush	IVPush	–
Eptifibatide (Integrilin®)	IVPush	–	–
	IV-Drip
Estrogen, Conjugated (Premarin®)	IVPush	IVPush	–
Ethacrynate Sodium (Ethacrynic Acid) (Edecrin®)	IVPush	IVPush	IVPush
	IVPB	IVPB	IVPB
Famotidine	IVPush	IVPush	IVPush
(Pepcid®)	IVPB	IVPB	IVPB
Fentanyl Citrate	IVPush	–	IVPush
Ferric Sodium Gluconate (Ferrlecit®)	IVPB	IVPB	IVPB
Filgrastim	IVPush	IVPush	–
(Neupogen, Zarxio®)
Flumazenil	IVPush	IVPush	IVPush
(Romazicon®)
Folic Acid	IVPush	IVPush	IVPush
	IVPB	IVPB	IVPB
Foscarnet Sodium	IVPB	IVPB	–
(Foscavir®)
FOSphenytoin Sodium	IVPB	IVPB	IVPB
	IVPush		IVPush
(Cerebyx®)
Furosemide	IVPush	IVPush	IVPush
	IVPB	IVPB	IVPB
(Lasix®)	IV-Drip
Ganciclovir Sodium	IVPB	IVPB	–
(DHPG®, Cytovene®)
Glucagon	IVPush	IVPush	IVPush
	IV-Drip
(GlucaGen®)
Glycopyrrolate	IVPush	IVPush	N/A
(Robinul®)
Granisetron HCL	IVPush	IVPush	–
(Kytril®)
Haloperidol (Haldol®)	IVPush	–	–
Heparin Sodium	IVPush	IVPush	IVPush
	IV-Drip	IV-Drip	IV-Drip
hydralazine HCl	IVPush	IVPush	IVPush
(Apresoline®)
Hydrocortisone Sodium Succinate	IVPush	IVPush	IVPush
(Solu-Cortef®)	IVPB	IVPB	IVPB
	IV-Drip	IV-Drip	IV-Drip
Hydromorphone HCl	IVPush	IVPush	IVPush
	IV-Drip	IV-Drip
(Dilaudid®)	PCA	PCA
Hypertonic Saline (3%)	IVPB	–	–
	LVP
Ibutilide Fumarate	IVPB	–	–
(Covert®)
Immune Globulin	IVBP	IVPB	–
(Flebogamma®, Gamunex-C®)
Insulin – Regular Insulin IV Push	IVPush	IVPush	–
(Novolin R®, Humulin R®)
Insulin, Regular Infusion	IV-Drip	–	IV-Drip
(Novolin R®, Humulin R®)
Iron Dextran	IVPB	IVPB	IVPB
	IVPush – test dose only	IVPush – test dose only	IVPush – test dose only
(Infed®)
Iron Sucrose	IVPB	IVPB	IVPB
	IVPush	IVPush	IVPush
(Venofer®)
Ketorolac Tromethamine	IVPush	IVPush	IVPush
(Toradol®)
Labetalol HCl	IVPush	IVPush	IVPush
(Normodyne®, Trandate®)
Lacosamide	IVPB	IVPB	–
levETIRAcetam	IVPB	IVPB	IVPB
	IVPush	IVPush	IVPush
(Keppra®)
Levothyroxine Sodium	IVPush	IVPush	IVPush
(Synthroid®)
Lidocaine HCl 1%	IVPB	IVPB	IVPB
(Xylocaine 1%®)
Lidocaine HCl 2%	IV-Drip	RRT or Code Blue Only	RRT or Code Blue Only
	IV Bolus
(Xylocaine PF®)	IV-Push
Lorazepam	IVPush	IVPush	IVPush
(Ativan®)
Magnesium Sulfate	IVPB	IVPB	IVPB
	LVP	LVP	IV-Drip
Mannitol	IVPush	IVPush	–
	IVPB	IVPB
Meperidine	IVPush	IVPush	IVPush
(Demerol®)
Methyldopa	IVPB	IVPB	IVPB
(Aldomet®)
Methylprednisolone Sodium Succinate	IVPush	IVPush	IVPush
	IVPB	IVPB	IVPB
(Solu-Medrol®)	LVP	LVP	LVP
Metoclopramide HCl	IVPush	IVPush	IVPush
	IVPB	IVPB	IVPB
(Reglan®)
Metoprolol Tartrate	IVPush	IVPush	IVPush
(Lopressor®)
Midazolam	IVPush (only with O2 sat, RR and BP monitor)	RRT or Code Blue only	–
(Versed®)
Milrinone Lactate	IVPB	–	–
	IV-Drip
(Primacor®)
Morphine Sulfate	IVPush	IVPush	IVPush
	IV-Drip	IV-Drip	PCA
	PCA	PCA
Multivitamin Infusion	IVPB	IVPB	IVPB
	LVP	LVP	LVP
(MVI-12®)
Nalbuphine (NuBAIN)	IVPush	IVPush	IVPush
Naloxone (Narcan)	IV Push	IV Push	IV Push
	IV-Drip		IV-Drip
Neostigmine (Prostigmine)	IV Push	–	–
Nitroglycerin (Tridil)	IV-Drip	RRT or Code Blue only	RRT or Code Blue only
Octreotide Acetate	IVPush	IVPush	–
		IV-Drip
(Sandostatin®)	IVPB
	IV-Drip
Ondansetron	IVPush	IVPush	IVPush
	IVPB	IVPB	IVPB
(Zofran®)
Oxytocin	–	IV-Drip	IV-Drip
(Pitocin®)
Pamidronate Disodium	IVPB	IVPB	–
(APD, Aredia®)
Pantoprazole Sodium	IVPush	IVPush	IVPush
(Protonix®)	IVPB	IVPB	IVPB
	IV-Drip	IV-Drip	IV-Drip
Pentamidine Isethionate	IVPB	–	–
(Pentam®)
Phentolamine	IVPush	IVPush	–
(Regitine®)
Phenobarbital Sodium	IVPush	IVPush	IVPush
(Luminal®)	IVPB	IVPB	IVPB
Phenytoin Sodium	IVPB	IVPB	IVPB
(Dilantin®)
Phytonadione	IVPB	IVPB	–
Potassium Chloride	IVPB	IVPB	IVPB
Potassium Acetate
Potassium Phosphate	IVPB	IVPB	IVPB
Procainamide HCL«	IVPB	RRT or Code Blue Only	–
	IV-Drip
(Pronestyl®)
Prochlorperazine	IVPush	IVPush	IVPush
(Compazine®)
Promethazine	–	–	–
(Phenergan®)
Propranolol	IVPush	IVPush	–
(Inderal®)
Protamine Sulfate	IVPush	IVPush	IVPush
	IVPB	IVPB	IVPB
Rh Immune Globulin	IVPush	IVPush	IVPush
(WinRho®)
Rifampin	IVPB	IVPB	IVPB
Sodium Bicarbonate	IVPush	IVPush	IVPush
	IVPB	IVPB	IVPB
	LVP	LVP	LVP
Sodium Chloride 3%(Hypertonic Saline)	IV-Drip	–	–
Sodium Thiosulfate	IVPB	IVPB	IVPB
Terbutaline	–	–	IVPush
(Brethine®)
Thiamine HCl	IVPB	IVPB	IVPB
	IVPush	IVPush	IVPush
(Vitamin B1)	LVP	LVP	LVP
Torsemide	IVPush	IVPush	–
(Demedex®)	IV-Drip
Tranexamic acid (CYKLOKAPRON®)	IVPB	IVPB	IVPB
	IVPush		IVPush
Acronym: TXA
Trimethoprim/ Sulfamethoxazole	IVPB	IVPB	IVPB
(Septra®/ Bactrim®/ Co-trimoxazole®)
Verapamil HCl	IVPush	–	–
(Isoptin®)
Zidovudine (AZT)	–	–	IVPB
Zoledronic Acid (Zometa®)	IVPB	IVBP	IVPB