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lynncrni
Medication infusion that prohibit flushing

 Several IV medications given by a very slow continuous infusion cannot be routinely flushed because the time required for the VAD to fill with the medication and reach the bloodstream is too long. Cardiac meds such as milrinone are in this group but I am certain there are other meds like this. I am searching for all the drugs like this. At AVA a couple of weeks ago, I heard a conversation about a new drug like this but can't remember the name. What drugs do you see with this issue? Are there any circumstances where flushing is done? Do you ever aspirate and flush to check for patency on these VADs? If not, do you just rely on pump alarms? Do you use any other methods to assess patency? Searching for any info I can find as this is not well defined in the drug monographs. Thanks Lynn