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Learn more about new guidelines for medication dilution from a Dallas nurse attorney. 

Please help prevent infection when administering medications by following this guideline:

Do NOT use prefilled saline flush syringes to dilute or reconstitute medications.

Food and Drug Administration (FDA) says, “Prefilled saline flush syringes are FDA approved as a device only and MUST NOT be used to dilute or reconstitute medications.”

According to the Institute for Safe Medication Practices (ISMP), “The outside, the plunger and inner portion of the barrel of prefilled saline flush syringes are NOT STERILE, thus extending the plunger past the prefilled volume (area in red) introduces contaminants to the content of the syringe”

What’s the best practice? ONLY use sodium chloride 0.9 % injection vials to dilute any IV push medications.

Please refer to ISMP’s Safe Practice Guidelines for Adult IV Push Medications for additional information

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Source: http://www.ismp.org/Tools/guidelines/ivsummitpush/ivpushmedguidelines.pdf