INTRAVENOUS COMPATIBILITY CHART CISATRACURIUM (NIMBEX)

Acyclovir Albumin Ampicillin Calcium Chloride Calcium Gluconate Ceftriaxone (Rocephin) Clindamycin Dexamethasone (Decadron) Dexmedetomidine (Precedex) Diazepam (Valium) Dobutamine Dopamine Epinephrine Famotidine (Pepcid) Fentanyl Fosphenytoin (Cerebyx) Furosemide/Chlorothiazide Furosemide (Lasix) Gentamicin Heparin Insulin, Regular Ketamine Magnesium Sulfate Meropenem (Merrem) Methadone Methylprednisolone (Solu-Medrol) Metronidazole (Flagyl) Midazolam (Versed) Milrinone (Primacor) Morphine Nafcillin Norepinephrine (Levophed) Phenylephrine (Neo-Synephrine) Potassium Chloride Ranitidine (Zantac) Sodium Bicarbonate Terbutaline TPN + Lipids Vancomycin Vasopressin Vecuronium YES: Compatible at y-site NO: Incompatible

DEXMEDETOMIDINE (PRECEDEX)
** Acyclovir ? Albumin ** Ampicillin ? Calcium Chloride YES Calcium Gluconate YES Ceftriaxone (Rocephin) YES Cisatracurium (Nimbex) YES Clindamycin YES Dexamethasone (Decadron) ** Diazepam (Valium) YES Dobutamine YES Dopamine YES Epinephrine YES Famotidine (Pepcid) YES Fentanyl ? Fosphenytoin (Cerebyx) ? Furosemide/Chlorothiazide ** Furosemide (Lasix) YES Gentamicin ** Heparin ? Insulin, Regular ? Ketamine YES Magnesium Sulfate ? Meropenem (Merrem) ? Methadone ** Methylprednisolone (Solu-Medrol) YES Metronidazole (Flagyl) YES Midazolam (Versed) ? Milrinone (Primacor) YES Morphine ? Nafcillin YES Norepinephrine (Levophed) YES Phenylephrine (Neo-Synephrine) YES Potassium Chloride YES Ranitidine (Zantac) ** Sodium Bicarbonate ? Terbutaline ? TPN + Lipids YES Vancomycin ? Vasopressin ? Vecuronium ?: No compatibility info available **: Conflicting data, Contact Pharmacy ? ? YES ? YES YES YES YES YES NO YES YES YES YES YES ? ? YES YES YES ? ? YES ? ? YES YES YES YES YES ? YES YES YES YES YES ? ? YES ? YES

DOBUTAMINE
Acyclovir Albumin Ampicillin Calcium Chloride Calcium Gluconate Ceftriaxone (Rocephin) Cisatracurium (Nimbex) Clindamycin Dexamethasone (Decadron) Dexmedetomidine (Precedex) Diazepam (Valium) Dopamine Epinephrine Famotidine (Pepcid) Fentanyl Fosphenytoin (Cerebyx) Furosemide/Chlorothiazide Furosemide (Lasix) Gentamicin Heparin Insulin, Regular Ketamine Magnesium Sulfate Meropenem (Merrem) Methadone Methylprednisolone (Solu-Medrol) Metronidazole (Flagyl) Midazolam (Versed) Milrinone (Primacor) Morphine Nafcillin Norepinephrine (Levophed) Phenylephrine (Neo-Synephrine) Potassium Chloride Ranitidine (Zantac) Sodium Bicarbonate Terbutaline TPN + Lipids Vancomycin Vasopressin Vecuronium NO ? ? ** ** ? YES ? ? YES ** YES YES YES YES ? NO NO ? ** ** ? ** YES ? ? ? ** YES YES NO YES YES ** YES NO ? YES ? YES YES

INTRAVENOUS COMPATIBILITY CHART DOPAMINE

Acyclovir Albumin Ampicillin Calcium Chloride Calcium Gluconate Ceftriaxone (Rocephin) Cisatracurium (Nimbex) Clindamycin Dexamethasone (Decadron) Dexmedetomidine (Precedex) Diazepam (Valium) Dobutamine Epinephrine Famotidine (Pepcid) Fentanyl Fosphenytoin (Cerebyx) Furosemide/Chlorothiazide Furosemide (Lasix) Gentamicin Heparin Insulin, Regular Ketamine Magnesium Sulfate Meropenem (Merrem) Methadone Methylprednisolone (Solu-Medrol) Metronidazole (Flagyl) Midazolam (Versed) Milrinone (Primacor) Morphine Nafcillin Norepinephrine (Levophed) Phenylephrine (Neo-Synephrine) Potassium Chloride Ranitidine (Zantac) Sodium Bicarbonate Terbutaline TPN + Lipids Vancomycin Vasopressin Vecuronium YES: Compatible at y-site NO: Incompatible NO ? ** YES ? ? YES ? ? YES ? YES YES YES YES ? ? ** ** YES NO ? ? YES ? YES ** YES YES YES ? YES ? YES YES NO ? ** ? YES

EPINEPHRINE
Acyclovir Albumin Ampicillin Calcium Chloride Calcium Gluconate Ceftriaxone (Rocephin) Cisatracurium (Nimbex) Clindamycin Dexamethasone (Decadron) Dexmedetomidine (Precedex) Diazepam (Valium) Dobutamine Dopamine Famotidine (Pepcid) Fentanyl Fosphenytoin (Cerebyx) Furosemide/Chlorothiazide Furosemide (Lasix) Gentamicin Heparin Insulin, Regular Ketamine Magnesium Sulfate Meropenem (Merrem) Methadone Methylprednisolone (Solu-Medrol) Metronidazole (Flagyl) Midazolam (Versed) Milrinone (Primacor) Morphine Nafcillin Norepinephrine (Levophed) Phenylephrine (Neo-Synephrine) Potassium Chloride Ranitidine (Zantac) Sodium Bicarbonate Terbutaline TPN + Lipids Vancomycin Vasopressin ? ? NO ** ** ? YES ? ? YES ** YES YES YES YES ? ? ** ? YES ? ? ? ? ? ? ? YES YES YES ? ** ? YES YES ? ? ? NO YES YES

FENTANYL
Acyclovir Albumin Ampicillin Calcium Chloride Calcium Gluconate Ceftriaxone (Rocephin) Cisatracurium (Nimbex) Clindamycin Dexamethasone (Decadron) Dexmedetomidine (Precedex) Diazepam (Valium) Dobutamine Dopamine Epinephrine Famotidine (Pepcid) Fosphenytoin (Cerebyx) Furosemide/Chlorothiazide Furosemide (Lasix) Gentamicin Heparin Insulin, Regular Ketamine Magnesium Sulfate Meropenem (Merrem) Methadone Methylprednisolone (Solu-Medrol) Metronidazole (Flagyl) Midazolam (Versed) Milrinone (Primacor) Morphine Nafcillin Norepinephrine (Levophed) Phenylephrine (Neo-Synephrine) Potassium Chloride Ranitidine (Zantac) Sodium Bicarbonate Terbutaline TPN + Lipids Vancomycin Vasopressin Vecuronium ? ? YES ? YES ? YES YES YES ? YES YES YES YES ? ? ? YES YES YES ? YES ? ? ? ? YES YES YES YES YES YES ? YES YES YES ? YES YES ? YES

YES Vecuronium ?: No compatibility info available **: Conflicting data, Contact Pharmacy

INTRAVENOUS COMPATIBILITY CHART FUROSEMIDE (LASIX)

Acyclovir Albumin Ampicillin Calcium Chloride Calcium Gluconate Ceftriaxone (Rocephin) Cisatracurium (Nimbex) Clindamycin Dexamethasone (Decadron) Dexmedetomidine (Precedex) Diazepam (Valium) Dobutamine Dopamine Epinephrine Famotidine (Pepcid) Fentanyl Fosphenytoin (Cerebyx) Furosemide/Chlorothiazide Gentamicin Heparin Insulin, Regular Ketamine Magnesium Sulfate Meropenem (Merrem) Methadone Methylprednisolone (Solu-Medrol) Metronidazole (Flagyl) Midazolam (Versed) Milrinone (Primacor) Morphine Nafcillin Norepinephrine (Levophed) Phenylephrine (Neo-Synephrine) Potassium Chloride Ranitidine (Zantac) Sodium Bicarbonate Terbutaline TPN + Lipids Vancomycin Vasopressin Vecuronium YES: Compatible at y-site NO: Incompatible ? YES ? ? ? ? ** ? ? YES NO ** ** YES ** YES ? ? NO YES ? ? ? YES ? ? ? NO NO ** ? YES ? ** YES YES ? YES ? ?

FURO/CHLOROTHIAZIDE
Acyclovir Albumin Ampicillin Calcium Chloride Calcium Gluconate Ceftriaxone (Rocephin) Cisatracurium (Nimbex) Clindamycin Dexamethasone (Decadron) Dexmedetomidine (Precedex) Diazepam (Valium) Dobutamine Dopamine Epinephrine Famotidine (Pepcid) Fentanyl Fosphenytoin (Cerebyx) Furosemide (Lasix) Gentamicin Heparin Insulin, Regular Ketamine Magnesium Sulfate Meropenem (Merrem) Methadone Methylprednisolone (Solu-Medrol) Metronidazole (Flagyl) Midazolam (Versed) Milrinone (Primacor) Morphine Nafcillin Norepinephrine (Levophed) Phenylephrine (Neo-Synephrine) Potassium Chloride Ranitidine (Zantac) Sodium Bicarbonate Terbutaline TPN + Lipids Vancomycin Vasopressin ? ? ? ? ? ? ? ? ? ? NO NO NO ? ? ? ? YES NO ? NO ? ? ? NO ? ? NO NO NO ? NO ? NO YES ? ? NO NO ? NO

HEPARIN
Acyclovir Albumin Ampicillin Calcium Chloride Calcium Gluconate Ceftriaxone (Rocephin) Cisatracurium (Nimbex) Clindamycin Dexamethasone (Decadron) Dexmedetomidine (Precedex) Diazepam (Valium) Dobutamine Dopamine Epinephrine Famotidine (Pepcid) Fentanyl Fosphenytoin (Cerebyx) Furosemide/Chlorothiazide Furosemide (Lasix) Gentamicin Insulin, Regular Ketamine Magnesium Sulfate Meropenem (Merrem) Methadone Methylprednisolone (Solu-Medrol) Metronidazole (Flagyl) Midazolam (Versed) Milrinone (Primacor) Morphine Nafcillin Norepinephrine (Levophed) Phenylephrine (Neo-Synephrine) Potassium Chloride Ranitidine (Zantac) Sodium Bicarbonate Terbutaline TPN + Lipids Vancomycin Vasopressin Vecuronium YES ? ** ? YES YES ** YES YES YES NO ** YES YES YES YES ? ? YES ** ** ? YES YES ? ** YES YES YES YES YES ** YES YES YES YES ? ** ** YES YES

NO Vecuronium ?: No compatibility info available **: Conflicting data, Contact Pharmacy

INTRAVENOUS COMPATIBILITY CHART INSULIN, REGULAR

Acyclovir Albumin Ampicillin Calcium Chloride Calcium Gluconate Ceftriaxone (Rocephin) Cisatracurium (Nimbex) Clindamycin Dexamethasone (Decadron) Dexmedetomidine (Precedex) Diazepam (Valium) Dobutamine Dopamine Epinephrine Famotidine (Pepcid) Fentanyl Fosphenytoin (Cerebyx) Furosemide/Chlorothiazide Furosemide (Lasix) Gentamicin Heparin Ketamine Magnesium Sulfate Meropenem (Merrem) Methadone Methylprednisolone (Solu-Medrol) Metronidazole (Flagyl) Midazolam (Versed) Milrinone (Primacor) Morphine Nafcillin Norepinephrine (Levophed) Phenylephrine (Neo-Synephrine) Potassium Chloride Ranitidine (Zantac) Sodium Bicarbonate Terbutaline TPN + Lipids Vancomycin Vasopressin Vecuronium YES: Compatible at y-site NO: Incompatible ? ? YES ? ? ? ? ? ? ? ? ** NO ? YES ? ? NO ? YES YES ? YES YES ? NO ? YES YES YES NO NO ? YES ** ** ? YES YES YES

KETAMINE
Acyclovir Albumin Ampicillin Calcium Chloride Calcium Gluconate Ceftriaxone (Rocephin) Cisatracurium (Nimbex) Clindamycin Dexamethasone (Decadron) Dexmedetomidine (Precedex) Diazepam (Valium) Dobutamine Dopamine Epinephrine Famotidine (Pepcid) Fentanyl Fosphenytoin (Cerebyx) Furosemide/Chlorothiazide Furosemide (Lasix) Gentamicin Heparin Insulin, Regular Magnesium Sulfate Meropenem (Merrem) Methadone Methylprednisolone (Solu-Medrol) Metronidazole (Flagyl) Midazolam (Versed) Milrinone (Primacor) Morphine Nafcillin Norepinephrine (Levophed) Phenylephrine (Neo-Synephrine) Potassium Chloride Ranitidine (Zantac) Sodium Bicarbonate Terbutaline TPN + Lipids Vancomycin Vasopressin ? ? ? ? ? ? ? ? ? ? NO ? ? ? ? YES ? ? ? ? ? ? ? ? ? ? ? YES ? YES ? ? ? ? ? ? ? ? ? ? ?

MIDAZOLAM (VERSED)
Acyclovir Albumin Ampicillin Calcium Chloride Calcium Gluconate Ceftriaxone (Rocephin) Cisatracurium (Nimbex) Clindamycin Dexamethasone (Decadron) Dexmedetomidine (Precedex) Diazepam (Valium) Dobutamine Dopamine Epinephrine Famotidine (Pepcid) Fentanyl Fosphenytoin (Cerebyx) Furosemide/Chlorothiazide Furosemide (Lasix) Gentamicin Heparin Insulin, Regular Ketamine Magnesium Sulfate Meropenem (Merrem) Methadone Methylprednisolone (Solu-Medrol) Metronidazole (Flagyl) Milrinone (Primacor) Morphine Nafcillin Norepinephrine (Levophed) Phenylephrine (Neo-Synephrine) Potassium Chloride Ranitidine (Zantac) Sodium Bicarbonate Terbutaline TPN + Lipids Vancomycin Vasopressin Vecuronium ? NO NO ? YES ? YES YES NO ? ? ** YES YES YES YES NO NO NO YES YES YES YES ? ? YES YES YES YES YES NO YES ? ** YES NO ? NO YES ? YES

? Vecuronium ?: No compatibility info available **: Conflicting data, Contact Pharmacy

INTRAVENOUS COMPATIBILITY CHART MILRINONE (PRIMACOR)

Acyclovir Albumin Ampicillin Calcium Chloride Calcium Gluconate Ceftriaxone (Rocephin) Cisatracurium (Nimbex) Clindamycin Dexamethasone (Decadron) Dexmedetomidine (Precedex) Diazepam (Valium) Dobutamine Dopamine Epinephrine Famotidine (Pepcid) Fentanyl Fosphenytoin (Cerebyx) Furosemide/Chlorothiazide Furosemide (Lasix) Gentamicin Heparin Insulin, Regular Ketamine Magnesium Sulfate Meropenem (Merrem) Methadone Methylprednisolone (Solu-Medrol) Metronidazole (Flagyl) Midazolam (Versed) Morphine Nafcillin Norepinephrine (Levophed) Phenylephrine (Neo-Synephrine) Potassium Chloride Ranitidine (Zantac) Sodium Bicarbonate Terbutaline TPN + Lipids Vancomycin Vasopressin Vecuronium YES: Compatible at y-site NO: Incompatible YES ? YES YES YES ? ? YES YES YES ? YES YES YES ? YES ? NO NO YES YES YES ? YES YES ? YES YES YES YES ? YES ? YES YES YES ? YES YES YES

MORPHINE
Acyclovir Albumin Ampicillin Calcium Chloride Calcium Gluconate Ceftriaxone (Rocephin) Cisatracurium (Nimbex) Clindamycin Dexamethasone (Decadron) Dexmedetomidine (Precedex) Diazepam (Valium) Dobutamine Dopamine Epinephrine Famotidine (Pepcid) Fentanyl Fosphenytoin (Cerebyx) Furosemide/Chlorothiazide Furosemide (Lasix) Gentamicin Heparin Insulin, Regular Ketamine Magnesium Sulfate Meropenem (Merrem) Methadone Methylprednisolone (Solu-Medrol) Metronidazole (Flagyl) Midazolam (Versed) Milrinone (Primacor) Nafcillin Norepinephrine (Levophed) Phenylephrine (Neo-Synephrine) Potassium Chloride Ranitidine (Zantac) Sodium Bicarbonate Terbutaline TPN + Lipids Vancomycin Vasopressin ** ? YES YES ? YES YES YES YES ? YES YES YES YES YES YES ? NO ** YES YES YES YES YES YES ? YES YES YES YES YES YES ? YES YES ** ? ** YES ? YES

NOREPINEPHRINE (LEVOPHED)
Acyclovir Albumin Ampicillin Calcium Chloride Calcium Gluconate Ceftriaxone (Rocephin) Cisatracurium (Nimbex) Clindamycin Dexamethasone (Decadron) Dexmedetomidine (Precedex) Diazepam (Valium) Dobutamine Dopamine Epinephrine Famotidine (Pepcid) Fentanyl Fosphenytoin (Cerebyx) Furosemide/Chlorothiazide Furosemide (Lasix) Gentamicin Heparin Insulin, Regular Ketamine Magnesium Sulfate Meropenem (Merrem) Methadone Methylprednisolone (Solu-Medrol) Metronidazole (Flagyl) Midazolam (Versed) Milrinone (Primacor) Morphine Nafcillin Phenylephrine (Neo-Synephrine) Potassium Chloride Ranitidine (Zantac) Sodium Bicarbonate Terbutaline TPN + Lipids Vancomycin Vasopressin Vecuronium ? ? NO YES ? ? YES ? ? YES NO YES YES ** YES YES ? NO ? ? ** NO ? YES YES ? YES ? YES YES YES ** YES YES YES NO ? YES ? YES YES

YES Vecuronium ?: No compatibility info available **: Conflicting data, Contact Pharmacy

INTRAVENOUS COMPATIBILITY CHART TERBUTALINE

Acyclovir Albumin Ampicillin Calcium Chloride Calcium Gluconate Ceftriaxone (Rocephin) Cisatracurium (Nimbex) Clindamycin Dexamethasone (Decadron) Dexmedetomidine (Precedex) Diazepam (Valium) Dobutamine Dopamine Epinephrine Famotidine (Pepcid) Fentanyl Fosphenytoin (Cerebyx) Furosemide/Chlorothiazide Furosemide (Lasix) Gentamicin Heparin Insulin, Regular Ketamine Magnesium Sulfate Meropenem (Merrem) Methadone Methylprednisolone (Solu-Medrol) Metronidazole (Flagyl) Midazolam (Versed) Milrinone (Primacor) Morphine Nafcillin Norepinephrine (Levophed) Phenylephrine (Neo-Synephrine) Potassium Chloride Ranitidine (Zantac) Sodium Bicarbonate TPN + Lipids Vancomycin Vasopressin Vecuronium YES: Compatible at y-site NO: Incompatible ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? YES ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?

VASOPRESSIN
Acyclovir Albumin Ampicillin Calcium Chloride Calcium Gluconate Ceftriaxone (Rocephin) Cisatracurium (Nimbex) Clindamycin Dexamethasone (Decadron) Dexmedetomidine (Precedex) Diazepam (Valium) Dobutamine Dopamine Epinephrine Famotidine (Pepcid) Fentanyl Fosphenytoin (Cerebyx) Furosemide/Chlorothiazide Furosemide (Lasix) Gentamicin Heparin Insulin, Regular Ketamine Magnesium Sulfate Meropenem (Merrem) Methadone Methylprednisolone (Solu-Medrol) Metronidazole (Flagyl) Midazolam (Versed) Milrinone (Primacor) Morphine Nafcillin Norepinephrine (Levophed) Phenylephrine (Neo-Synephrine) Potassium Chloride Ranitidine (Zantac) Sodium Bicarbonate Terbutaline TPN + Lipids Vancomycin ? ? ? ? ? ? ? ? ? ? ? YES YES YES ? ? ? ? ? YES YES YES ? ? YES ? ? YES ? YES ? ? YES YES ? ? YES ? ? ? ?

VECURONIUM
Acyclovir Albumin Ampicillin Calcium Chloride Calcium Gluconate Ceftriaxone (Rocephin) Cisatracurium (Nimbex) Clindamycin Dexamethasone (Decadron) Dexmedetomidine (Precedex) Diazepam (Valium) Dobutamine Dopamine Epinephrine Famotidine (Pepcid) Fentanyl Fosphenytoin (Cerebyx) Furosemide/Chlorothiazide Furosemide (Lasix) Gentamicin Heparin Insulin, Regular Ketamine Magnesium Sulfate Meropenem (Merrem) Methadone Methylprednisolone (Solu-Medrol) Metronidazole (Flagyl) Midazolam (Versed) Milrinone (Primacor) Morphine Nafcillin Norepinephrine (Levophed) Phenylephrine (Neo-Synephrine) Potassium Chloride Ranitidine (Zantac) Sodium Bicarbonate Terbutaline TPN + Lipids Vancomycin Vasopressin ? ? ? ? ? ? ? ? ? ? NO YES YES YES ? YES ? NO NO YES YES ? ? ? ? ? ? ? YES YES YES ? YES ? ? YES ? ? ? YES ?

? Vecuronium ?: No compatibility info available **: Conflicting data, Contact Pharmacy