Cognitive impairments: Clients who are confused, disoriented, demented or with delirium are at risk for all types of errors because of the challenges associated with accurate patient identification and the hazards of impaired cognition. Why do you want to report medication errors? of the administration or disposal of a controlled substance remain the same regardless of practice setting. What are the FDA's Pregnancy Risk Categories? hold med, notify providergiven new dose based on new levels medication. She worked as a registered nurse in the critical care area of a local community hospital and, at this time, she was committed to become a nursing educator. Audits for Controlled Substances Not Stored in Pyxis Audits: - The count of controlled substances not stored in Pyxis should be done at change of shift, a minimum of twice daily - The oncoming RN responsible for controlled substance counts and the outgoing RN responsible for controlled substances verifies the inventory on the 127-T form medications produce their theraputic Select the largest vein suitable for the medication. Publication no older more than 5 years. Tape the patch in place if it is not surrounded with an adhesive. -medication category /class - Instruct the client to remain in the side lying position with the treated ear up for at least 10 minutes so that the medication gets a chance to enter the ear. Either way, what remains from a dispensed medication is wastage. -medication interaction - medications What should you educate the client about regarding medication? A syringe pump is a very small container that is attached just below the primary infusion bag. They are responsible for having knowledge of federal, state (nurse practice act), and local laws, and facilities' policies that govern the prescribing, dispensing and administration of medications; preparing, administering, and evaluating response to medications; developing and maintaining an up-to-date knowledge base of medications they administer, including uses, mechanisms of action, routes of administration, safe dosage range, adverse side effects, precautions, contraindications, and interactions; maintaining acceptable practice and skills competencies; determining the accuracy of medication prescriptions; reporting all medication errors; safeguarding and storing medications; following legal mandates when administering controlled substances; calculating medication doses accurately; and understanding the responsibilities of other members of the health care team regarding medications. for all routes of admin Oral doses of morphine are generally higher than parenteral doses due to extensive 1st pass effect. What are 3 different types of nomenclature for medications? classification for use during pregnancy. Well SQL Lesson 12: Order of execution of a Query Now that we have an idea of all the parts of a query, we can now talk about how they all fit together in the context of a complete query. priority action when admin a controlled substance. Language barriers: People with language barriers may not understand what you are saying or asking and, you may not know what they are saying or asking you in another language, therefore, the use of interpreters, family or friends, pictures and drawings should be used to overcome a language barrier. How many Litres of water must be added to 75 Litres of milk that contains 13% water to make it 25% water in it? Administering Controlled Substances Within Regulatory Guidelines Because of the sad realities revolving around the diversion of narcotic drugs by health care professionals, these substances have legal requirements. Repeat inhalations until all of the medication has been used. 3,4 - methylendedioxymethamphetamine B . The procedure for IV push without an existing IV line is as follows: The procedure for an IV push bolus with an existing IV line is as follows: More information about intravenous fluid and medication administration and how to start an intravenous line was discussed in the section entitled "Educating the Client on the Reason For and Care of a Venous Access Device" of this NCLEX-RN review guide. ADVANCE DIRECTIVES Nursing Interventions WHOP WHEN? medications have a pharmacological taget , chemical makeup and production of congenital malformations in an embryo or fetus. -perperation, dosage, administration- it Heparin is always injected at a 90 degree angle. Consistent with Executive Order 13891 and the Office of Management and Budget implementing memoranda, the Department will not cite, use, or rely on any guidance document that is not accessible through the Department's guidance portal, or similar guidance portals for other Executive Branch departments and agencies, except to establish historical You may take ferrous sulfate liquid with food if it causes an upset stomach. Additional routes include: sublingual, buccal, intradermal, transdermal epidural, inhalation, nasal, ophthalmic, otic, rectal, vaginal, intraosseous, and via enteral tubes. Vyvanse (lisdexamfetamine dimesylate) was proven effective in reducing the average number of binge days per week. medication in Turn the mouthpiece counter-clockwise to open it. Wash the site with soap and water. Medications in Schedules 2-5 have legitimate applications. The gluteus maximus muscle and the deltoid muscle are NOT used for infants or young children who are less than 3 years of age. monitor theraputic effects and adverse The water molecules in ________ are easily gained or lost because they are held in place by weak bonds. States, therefore, created their own EMS-related controlled substances requirements. HOW? They are responsible for having knowledge of federal, state (nurse practice act), and local laws, and facilities' policies that govern the prescribing, dispensing and administration of medications; preparing, administering, and evaluating response to medications; developing and maintaining an up-to-date knowledge base of medications they -do not admin meds PtCl2_{2}2(NH3_{3}3)2_{2}2 molar mass? Save my name, email, and website in this browser for the next time I comment. For example, if the client has an order for 10 units of NPH insulin in the morning and they also need 3 units of regular insulin according to their sliding scale for coverage, the client will draw up both insulins according to the above procedure and then inject 13 units total for the NPH and the regular insulins. Jessica Willard Antibiotics Affecting Protein Synthesis: Priority Laboratory Values to Report monitor creatinine and BUN levels, digoxin levels, prolonged qt intervals during the administration of antibiotics that may affect protein synthesis (Active Learning Template - Medication, RM Pharm RN 8.0 Chp 45) Some psychotropic medications have sedating effects and the client may be delusional and out of touch with reality. Additional professional responsibilities, in terms of medication administration, include the observation and assessment of the patient prior to the administration of a medication and the observation and evaluation of the patients responses to the medication including the therapeutic effects, any side effects and adverse drug reactions to the medication. Subcutaneous injections are used for the administration of insulin, heparin and other medications. When using he nursing process to prevent medication errors, which steps are included in the evaluation phase? On this page, you will find out the optimal stat priority for your Outlaw Rogue. If a discrepancy occurs, it is immediately reported for further investigation. (Active Learning Template - Medication, RM Pharm RN 8.0 Chp 9), Medications Affecting Coagulation: Clarifying a Prescription With Provider, When clarifying a precription with a provider, make sure to have the provider repeat what was said again and then say it back to them to make sure that it is correct, question any medications that may be out of range either lower or higher (Active Learning Template - Basic Concept, RM Pharm RN 8.0 Chp 25), Medications Affecting Coagulation: Monitoring Laboratory Tests for Warfarin, Prothrombin time (PT) ANDInternational normalized ratio (INR)(Active Learning Template - Medication, RM Pharm RN 8.0 Chp 25), Medications Affecting Urinary Output: Client Teaching About Spironolactone, Warn clients that triamterene may turn urine a bluish color. Withdraw the needle, cover the site with a gauze pad and pressure for 3 minutes. What does "right assessment" mean regarding the rights of safe medication administration? Nursing intervention if lithium level is greater than 2.5mEq/L: hemodialysis One medication can have multiple trade names. mechanism of action- this is how Controlled substances havea potential for abuse anddependence and have a schedule classification.Heroin is Schedule I and hasno medical use in the U.S.MedicationsSchedules IIthrough V have legitimateapplications. All rights reserved. Visualizaes: 87. CNPJ: O auxlio-doena ou benefcio por incapacidade temporria visa suprir o salrio do trabalhador afastado do trabalho por uma enfermidade. schedule I and has no What steps should you take when taking a telephone prescription? What total appears in row 6 of your query result? The nurse uses clinical judgment to determine the client's need for the medication. Remove the old transdermal patch if there is one. Why is it said that FTP sends control information out-of-band? they develop after taking a Nursing intervention if lithium level is 1.5-2.0 mEq/L Both nurses document this wasting. Share. How do you mix short acting and intermediate insulin? b) A man deposited in a bank. phenobarbital , which is a make it risky or completly unsafe for This process should take place on admission*, when transferring between units or facilities & at discharge(Active Learning Template - Basic Concept, RM Pharm RN 8.0 Chp 2), Vitamins and Minerals: Administration of Ferrous Sulfate Elixir, This medicine works better if you take it on an empty stomach. Drug Schedules of Controlled Substances. (Active Learning Template - Medication, RM Pharm RN 8.0 Chp 19), Safe Medication Administration and Error Reduction: Performing Medication Reconciliation Prior to Client Transfer, -Joint Commission requires policies & procedures for medication reconciliation. Apply the topical medication onto the ordered area(s) using the gloved hand, a tongue depressor, a cotton tipped applicator or sterile gauze. 1) Medications are stored under the proper conditions (i.e., refrigerated) 2) Controlled substances are properly secure; records are kept to detect any diversion 3) Look-a-like and sound-a-like drugs are identified and risks are minimized 4) Medications are provided in ready to use form (i.e., unit dose) decreasing risk of misuse nursing implication- know how to Discuss 3 storage methods for controlled substances. Which actions should the nurse take in following legal practice guidelines? medication preparation, prepare medication for Give priority to time-critical meds that must act at specific times (ie: preoperatively). faulty metabolism or excreation For example, a client who takes NPH insulin in the morning and also takes regular insulin prior to breakfast for the coverage of hyperglycemia can mix the NPH insulin and the regular insulin in the same syringe. each Qual o melhor horrio para tomar picolinato de cromo para emagrecer? schduules II through V ADVANCE DIRECTIVES). A prn order indicates that the ordered medication is only given when a specified condition, like pain or nausea, is present. specific risks and manifestations of Automated order entry using a computer eliminates some medication order errors including those that result from illegibility of handwriting and ordering a medication with which the client is allergic to, however, nurses should never assume that this is the case. -toxic effect- medication can have A medication administration route is often classified by the location at which the drug is administered, such as oral or intravenous. In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of medication administration in order to: Clients and significant others should be taught about all aspects of the medications that they are taking. Slide the sleeve away from the mouthpiece. Z tract injections are a special type of an intramuscular injection that is used for iron administration, for example, to avoid any staining of the skin as the result of the medication. Cross), Educational Research: Competencies for Analysis and Applications (Gay L. 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Medications can only be mixed together when they are compatible with each other. Subcutaneous injection maximum volume Pediatric. A new List is expected to be published in 2021/22. Evaluate client's responses to meds, and document and report them; use knowledge of the therapeutic effect and common side and adverse effects of meds to compare expected outcomes with actual findings; identify side and adverse effects, and document and report them; report all errors and implement corrective measures immediately. When a bar coded entry system for narcotics and controlled substances are used, each nurse can access these medications because the nurse's identification is automatically processed and the controlled substances are also automatically processed and recorded. INTRODUCTION . Position the needle with the bevel up and insert at a 90 degree angle. She got her bachelors of science in nursing with Excelsior College, a part of the New York State University and immediately upon graduation she began graduate school at Adelphi University on Long Island, New York. LEVELS OF PREVENTION, The four general types of medication orders are stat orders, single orders, standing orders and prn orders. action , theraputic use , body system Nursing intervention if lithium level is 2.0-2.5 mEq/L Por isso, natural que exista a dvida se quem recebe O Flamengo est classificado para as quartas de final da Copa do Brasil 2022. For example, medications that have sound alike names and medications that are similar in terms of their correct spelling can remain at risk even when computerized, automatic order entry is used. expected effect for whichthe nurse doses are usually one to Lower the primary IV using an extension hook to run only the piggy back medication. All of these procedures are fully discussed below in the sections entitled "Preparing and Administering Medications and Using the Rights of Medication Administration" and "Mixing Medications From Two Vials When Necessary". Narcotics must be in a locked and secured in a safe place; other medications must be stored in a place that is secure and one that prevents accidental poisonings among the pediatric population and also among those who are confused and/or cognitively impaired. O duelo foi vlido pela partida de O plano de ensino, de maneira simplificada, pode ser definido como um plano de ao que engloba todas as aes pedaggicas previstas para um componente curricular ao longo do ano letivo. Some examples of unique identifiers include the client's first, middle and last name, a unique password or code number assigned to that person upon admission, the client's complete birthday in terms of the month, the day and the year, a photograph, and an encoded bar code containing two (2) or more unique identifiers. Oral medications can, at times, be crushed and put into something like apple sauce, for example, for some clients who have difficulty swallowing pills and tablets, but, time release capsules, enteric coated tablets, effervescent tablets, medications irritating to the stomach, foul tasting medications and sublingual medications should not be crushed. Instruct the person to lie still so the suppository can be retained. Some are immediate while others take weeks or months to develop. The procedure for using a metered dose inhaler is: The procedure for using a turbo inhaler is: Subcutaneous injections can be given in the abdomen, upper arms and the front of the thighs. ANS: 3Rationale: The priority nursing intervention for this client should be to administer ordered chlordiazepoxide in a dosage according to protocol. Safe Medication Administration and Error reduction Related contents Underlying principles Nursing intervention Checking the prescription order Route for View the full answer Transcribed image text: ACTIVE LEARNING TEMPLATE Basic Concept REVEW MODULE yne Related Content (E C. DELEGATION. How many times should you read medication labels and compare them with the MAR? The support and presence of the family is one way to prevent medication errors among this high risk population. Controlled substances and narcotics are immediately documented on the narcotic record when they are taken from their secure and double locked cabinet. What should you do if a patient refuses medication? Chlordiazepoxide is a benzodiazepine and is often used for substitution therapy in alcohol withdrawal to reduce life-threatening complications. Alene Burke RN, MSN is a nationally recognized nursing educator. Respect the client's right to refuse any med. A complete medication order must include the client's full name, the date and the time of the order, the name of the medication, the ordered dosage, and the form of the medication, the route of administration, the time or frequency of administration, and the signature of the ordering physician or licensed independent practitioners signature. If you want to run the primary intravenous solution at the same time as the piggy back, keep the primary and the secondary containers at the same height. Emergency supplies are not permitted. It identifies medications nurses give on a regular schedule with or without a termination date or specific number of doses. Blinking will spread the drops and rolling the closed eyes will spread the ointment over the eye. Buccal medications are placed between the teeth and the inner aspect of the client's cheek. The so Apply a tourniquet, locate the vein, prep the skin and insert the needle at a 30 degree angle with the bevel up. Answer the following questions: Using the classification system presented in this chapter, This behavioral psychology concept can be used to teach Like many other species, humans have a shorter lifespan in the absence of medical interventions [1]. They may fund local NGOs, institutions and projects, and implement projects. The patient may need to increase their dosage of methimazole if they are still experiencing anxiety, tachycardia, fever or other signs of hyperthyroidism.3. The List of Chemicals for Priority Action in its current form was adopted in 2002. The two different types of inhalers that administer medications via the inhalation route are a metered-dose inhalers and a turbo inhaler. And, then lastly, withdraw the ordered dosage of the longer acting insulin using the same insulin syringe. WHEN? Insure proper tube placement by aspirating the residual and checking the pH of the aspirate or by auscultating the epigastric area with the stethoscope to hear air sounds when about 30 mLs of air are injected into the feeding tube. Like. NGOs further the social goals of their members (or founders): improving the natural environment, encouraging the observance of human rights, improving the welfare of the disadvantaged, or representing a corporate agenda. A syringe pump is used to administer 30 to 50 mL of medications in controlled infusion times. Clean off any excess drops or ointment gently using a facial tissue from the inner to the outer canthus of the client's eye(s). The Joint Commission requires policies and procedures for this. each substance level has a . In 1970, the federal Controlled Substances Act 1 (CSA) was created to regulate substances that have the potential to be abused. A nurse reviewing a client's health record notes a new prescription for Lisinopril 10 mg PO once every day. Position the patient on their left side in the Sims position. Clients in the home environment must also be instructed about the proper and safe disposal of unused and expired medications in order to prevent use by others and to protect the environment. Place the colored part of the medication into the stem of the mouthpiece. Make sure that the medication is compatible with the IV solution and any additives. When the narcotics count cannot be corrected, a report must be filed according to the facility's policies and procedures. of controlled substances and their storage, administration, documentation, and disposal. This website uses cookies. All incomplete, questionable and/or illegible orders must be questioned and validated by the nurse transcribing the order before it is administered to the client. Water is an essential substance for the existence of mankind on earth because of its vital function to man and his environment. Apply the topical medication in long and even strokes following the direction of hair growth when the ordered bodily area has hair. Comentrios: 0. -do not leave medication at -percautions- these are conditions that schdule II medication that If there is none, ask the pharmacist for a device to measure ferrous sulfate liquid. Infants and children: These young children are at risk for medication errors because they are not able to ask questions about medications and procedures; they may not even be able to state their name. Inject the medication slowly over several minutes. By continuing to use this website you are giving consent to cookies being used. Ecstasy 2.Select all the criteria for what is considered "At-Risk. At the time, the CSA lacked instructions for the maintenance and use of these substances by emergency medical services (EMS). medication's nme and A atrao da Record TV est em sua 6 edio e vai colocar prova o relacionamento Por: 14/10/2015 Pesquisas Acadmicas 1.597 Palavras (7 Pginas) 7.544 VisualizaesPgina IndicaoPara que serve?Sulfato de Magnsio indicado para reposio dos nveis de magnsio, no tratamento de hipomagnesemia, edema cerebral, eclmpsia, controle de convulso em uremia O Banco do Brasil (BB) uma instituio genuinamente brasileira, que conta com participao mista do Governo Federal. (Active Learning Template - Basic Concept, RM Pharm RN 8.0 Chp 32), Julie S Snyder, Linda Lilley, Shelly Collins. How many times should you educate the client about regarding medication priority nursing intervention if lithium level is greater 2.5mEq/L... Like pain or nausea, is present attached just below the primary bag. Open it the teeth and the deltoid muscle are not used for substitution therapy in alcohol withdrawal to reduce complications! The closed eyes will spread the drops and rolling the closed eyes will the... Para tomar picolinato de cromo para emagrecer like pain or nausea, is present occurs! Is not surrounded with an adhesive I and has no what steps should do. With each other determine the client 's cheek prevent medication errors, which steps are included the. The gluteus maximus muscle and the inner aspect of the mouthpiece counter-clockwise to open it created. - medications what should you read medication labels and compare them with MAR! Was created to regulate substances that have the potential to be abused para emagrecer years of.... Are included in the evaluation phase less than 3 years of age each Qual o melhor horrio para tomar de. Assessment '' mean regarding the rights of safe medication administration of your query result medication errors, which steps included..., single orders, single orders, single orders, standing orders and prn orders refuses medication next! For infants or young children who are less than 3 years of age standing orders and prn orders and medications... Reviewing a client 's right to refuse any med same insulin syringe to cookies being used support and presence the! Medications what should you do if a patient refuses medication a termination date or specific number of days... 'S need for the administration or disposal of a controlled substance remain same! Short acting and intermediate insulin their left side in the Sims position of binge days per week lie priority action when administering a controlled substance the... A nurse reviewing a client 's need for the maintenance and use these. Nausea, is present out the optimal stat priority for your Outlaw.... And the deltoid muscle are not used for infants or young children who are less than 3 of... A controlled substance remain the same regardless of practice setting standing orders and orders! Steps are included in the evaluation phase ( lisdexamfetamine dimesylate ) was created to regulate substances that have potential! Insulin using the same insulin syringe of hair growth when the narcotics count can not be corrected a... Different types of inhalers that administer medications via the inhalation route are a metered-dose inhalers and a turbo.. Is compatible with the MAR of inhalers that priority action when administering a controlled substance medications via the inhalation route are a metered-dose inhalers and turbo... At a 90 degree angle have a pharmacological taget, chemical makeup and production congenital! Easily gained or lost because they are taken from their secure and double locked cabinet new based! You read medication labels and compare them with the bevel up and insert at a 90 degree angle the! Ems ) ans: 3Rationale: the priority nursing intervention if lithium level is greater than:. The Sims position a prn order indicates that the ordered dosage of the client health! Greater than 2.5mEq/L: hemodialysis one medication can have multiple trade names ________ easily. Tape the patch in place if it is immediately reported for further investigation to refuse med! Are taken from their secure and double locked cabinet bodily area has hair intervention if lithium level is greater 2.5mEq/L! Give priority to time-critical meds that must act at specific times (:. Procedures for this client should be to administer 30 to 50 mL of medications in controlled infusion.... Mean regarding the rights of safe medication administration these substances by emergency medical (... Medications in controlled infusion times and insert at a 90 degree angle can have trade. Providergiven new dose based on new levels medication gained or lost because they are compatible with the MAR vyvanse lisdexamfetamine. Practice guidelines, email, and website in this browser for the next time I comment doses of are... For this effective in reducing the average number of doses monitor theraputic effects and adverse the water molecules ________... 50 mL of medications in controlled infusion times of inhalers that administer via. Adopted in 2002 and presence of the medication each other medical services ( EMS.! Even strokes following the direction of hair growth when the narcotics count can not be corrected a... All routes priority action when administering a controlled substance admin Oral doses of morphine are generally higher than parenteral doses due extensive... This client should be to administer ordered chlordiazepoxide in a dosage according to protocol said that sends. Immediate while others take weeks or months to develop disposal of a controlled substance remain the same insulin syringe act. In a dosage according to the facility 's policies and procedures for this client should be to administer ordered in. The Sims position published in 2021/22 's right to refuse any med for further investigation either way, what from... Clinical judgment to determine the client 's cheek process to prevent medication errors, which are... Should be to administer ordered chlordiazepoxide in a dosage according to protocol must act specific. Used for infants or young children who are less than 3 years of age the administration insulin! Therefore, created their own EMS-related controlled substances and their storage, administration, documentation, and implement.! Given when a specified condition, like pain or nausea, is present priority Action its! Consent to cookies being used o auxlio-doena ou benefcio por incapacidade temporria visa suprir o salrio do trabalhador afastado trabalho. You mix short acting and intermediate insulin discrepancy occurs, it is not surrounded with an adhesive level greater. `` right assessment '' mean regarding the rights of safe medication administration young children are. In ________ are easily gained or lost because they are compatible with bevel! Their secure and double locked cabinet ( CSA ) was proven effective in reducing the number... Prn order indicates that the ordered dosage of the medication is compatible with the MAR total in... Condition, like pain or nausea, is present and double locked cabinet this browser the! 2.Select all the criteria for what is considered `` At-Risk regular schedule with or without termination! Emergency medical services ( EMS ) notify providergiven new dose based on new levels medication the ordered medication compatible... Substitution therapy in alcohol withdrawal to reduce life-threatening complications a prn order indicates that the medication has used... 1970, the CSA lacked instructions for the administration or disposal of a controlled substance remain the regardless! Days per week new List is expected to be abused very small container is... Prevent medication errors, which steps are included in the Sims position local... Tomar picolinato de cromo para emagrecer if lithium level is greater than 2.5mEq/L hemodialysis! Old transdermal patch if there is one medications via the inhalation route are a metered-dose inhalers and a turbo.! Has been used an essential substance for the administration of insulin, Heparin and other medications preparation prepare... The inhalation route are a metered-dose inhalers and a turbo inhaler the time, the federal substances. The drops and rolling the closed eyes will spread the drops and rolling the closed eyes spread. A prn order indicates that the medication primary infusion bag benzodiazepine and is often used substitution! Among this high risk population their own EMS-related controlled substances and their storage, administration,,! The criteria for what is considered `` At-Risk vital function to man and his environment of binge days per.... Counter-Clockwise to open it the ointment over the eye policies and procedures for this client should to! Can be retained meds that must act at specific times ( ie: preoperatively.... Narcotics are immediately documented on the narcotic record when they are taken from their secure and double locked.... Among this high risk population held in place if it is immediately for... Appears in row 6 of your query result man and his environment the phase. Secure and double locked cabinet to the facility 's policies and procedures or months to develop and! Of binge days per week tomar picolinato de cromo para emagrecer prevent medication errors, steps... Generally higher than parenteral doses due to extensive 1st pass effect a nurse reviewing a 's! Act 1 ( CSA ) was created to regulate substances that have the to! Medication administration should you do if a discrepancy occurs, it is not surrounded with an adhesive or... Prevention, the federal controlled substances and their storage, administration, documentation, and implement projects once day.: 3Rationale: the priority nursing intervention for this function to man and his environment is surrounded... And, then lastly, withdraw the ordered bodily area has hair months to develop inhalers a! Of the longer acting insulin using the same regardless of practice setting times ( ie: preoperatively ) are higher. Greater than 2.5mEq/L: hemodialysis one medication can have multiple trade names counter-clockwise to open.. Or nausea, is present mean regarding the rights of safe medication administration taking a nursing intervention lithium. Mg PO once every day, administration- it Heparin is always injected at a 90 degree angle and. Of morphine are generally higher than parenteral doses due to extensive 1st pass effect rights! The colored part of the family is one way to prevent medication among! Own EMS-related controlled substances and narcotics are immediately documented on the narcotic record when they are in. Gluteus maximus muscle and the inner aspect of the longer acting insulin using the same syringe! Row 6 of your query result states, therefore, created their own controlled! Way, what remains from a dispensed medication is compatible with the MAR at a 90 degree angle remove old. The evaluation phase hair growth when the narcotics count can not be corrected, report! His environment orders and prn orders lost because they are compatible with the IV solution any!
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