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Standardization of Adult Norepinephrine Infusion Concentrations

Attention: Standardization of Adult Norepinephrine for Continuous Infusion EFFECTIVE JUNE 10, 2020

Island Health will no longer utilize norepinephrine 4 mg/250 mL bag (16 mcg/mL) for continuous infusions by large volume IV pumps in ADULT PATIENTS.

There are now two regional standardized concentrations:

  • 8 mg/250 mL (32 mcg/mL)
  • 16 mg/250 mL (64 mcg/mL)

Anesthesiology: Refer to OR implemention details (click here) Approved by the Therapeutic Stewardship and Safety Quality Council. ***Island Health log-in required***

The Patient Safety Learning System (PSLS) has identified frequent norepinephrine incidents involving a mismatch between concentration in the medication bag and concentration selected during pump programming. These errors are often attributed to ‘look alike concentrations’ 16 mcg/mL and 16 mg/250 mL.

IH

Standardization of Adult Norepinephrine for Continuous Infusion

EFFECTIVE JUNE 10, 2020