Why does amiodarone need an inline filter?

An increased risk of phlebitis is related to the infusion of certain caustic medications. Studies have repeatedly shown high incidences of phlebitis in patients receiving amiodarone peripherally. According to recent evidence, in-line filters have proven to be a necessary component when administering amiodarone.

Does amiodarone need to be filtered?

Amiodarone must be delivered by a volumetric infusion pump. Administer amiodarone, whenever possible, through a central venous catheter dedicated to that purpose. Use an in-line filter during administration.

What size filter is used for amiodarone?

Standard Dilutions [Amount of drug] [Infusion volume] [Infusion rate] (an inline 0.22 micron filter should be used).

What is an inline filter for IV?

In-line IV filters house a membrane that separates the whole unit into a patient side and an air-vent side. The saturated membrane will prevent air from passing through to the patient side. In-line IV filters are observed to back-siphon when lowered below the patient’s heart level.

What does the filter do for amiodarone?

Amiodarone is delivered from the pharmacy in a glass intravenous bottle and is administered by using an in-line filter. The filter is required because amiodarone quickly precipitates when mixed with intravenous fluid,9 a characteristic that can be a factor in the development of phlebitis.

When are IV filters required?

“In-line filters are required for parenteral administration to reduce the potential for patient harm due to particulates, microprecipitates, microorganisms, and air emboli.” (A.S.P.E.N. 2014)

In what instances are IV filters required?

Cardiac patients requiring filters In-line filters should be placed on all intravenous lines, central and peripheral, in the following situations: Pre-op (or unrepaired) patients with a congenital heart defect. Patients with single ventricle lesions: pre or post-op. All direct atrial lines.

Does amiodarone need a filter for central line?

What is an inline filter medical?

In-line filters protect your vacuum pump and outlet gas environment. Ideal for confining and isolating infectious and hazardous materials in vacuum systems and protecting your laboratory.

What does a 0.22 micron filter remove?

The 0.22-micron filter is one of the smallest used in patient care, and removes bacteria. There are not currently filters that remove viruses. Not all intravenous medications should be administered through a filter, and others may require filters of a specific size.

What filter do you use for TPN?

The use of an in-line, 1.2-micron filter is recommended for the infusion of total parenteral nutrition (TPN), also known as 3-in-1 or all-in-one [AIO], and intravenous fat emulsions (IVFE) infused alone through a separate IV line.

Why does amiodarone need filter?

The filter is required because Amiodarone quickly precipitates when mixed with intravenous fluid, a characteristic that can be a factor in the development of phlebitis .

How to administer Amiodarone IV?

Dosing. To prepare Amiodarone for an IV infusion, mix with D5W and give through an in-line filter. Alternatively, it is NOT necessary to dilute amiodarone for IV push administration and a filter is not necessary. When infusions exceed 2 hours, amiodarone can absorb into the plastic used for standard IV bags.

What size filter for amiodarone?

Filter is used for both Amiodarone and Dilantin. Usually the filter size is 0.22 micron. Dilantin is mixed in Normal Saline only. Lipids are never filtered and if your facility uses filters for their TPN’s then the Lipids go below the filter or the port closest to the patient. If in doubt,…

What do IV medications need filters?

Function of a micron filter. Filters for intravenous (IV) medication administration are used to remove contaminants from intravenous products . This filtration is intended to protect the patient receiving the medication by filtering out particulate matter, bacteria, and air emboli, protecting the patient from phlebitis due to particulates…