Approved Hospital Formulary
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Brand name products with an equivalent generic may not be available to order at Henry Ford Health. For questions, contact inpatient pharmacy.
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LVP solution with potassium
LVP solution with potassium
| Drug Name | Form | Strength | Clinic Use Only | Inpatient Restrictions | Outpatient Restrictions | Non-Formulary |
|---|---|---|---|---|---|---|
| Dextrose 5% and 0.2% Sodium Chloride with Potassium Chloride 20 mEq/L | SOLUTION, INTRAVENOUS | Dextrose 5% with 0.2% NaCl and KCl 20 mEq/L | ||||
| Dextrose 5% and 0.45% Sodium Chloride with Potassium Chloride 10 mEq/L | SOLUTION, INTRAVENOUS | Dextrose 5% with 0.45% NaCl and KCl 10 mEq/L | ||||
| Dextrose 5% and 0.45% Sodium Chloride with Potassium Chloride 20 mEq/L | SOLUTION, INTRAVENOUS | Dextrose 5% with 0.45% NaCl and KCl 20 mEq/L | ||||
| Dextrose 5% and 0.45% Sodium Chloride with Potassium Chloride 30 mEq/L | SOLUTION, INTRAVENOUS | Dextrose 5% with 0.45% NaCl and KCl 30 mEq/L | ||||
| Dextrose 5% and 0.45% Sodium Chloride with Potassium Chloride 40 mEq/L | SOLUTION, INTRAVENOUS | Dextrose 5% with 0.45% NaCl and KCl 40 mEq/L | ||||
| Dextrose 5% and 0.9% Sodium Chloride with Potassium Chloride 20 mEq/L | SOLUTION, INTRAVENOUS | Dextrose 5% with 0.9% NaCl and KCl 20 mEq/L | ||||
| Dextrose 5% and 0.9% Sodium Chloride with Potassium Chloride 40 mEq/L | SOLUTION, INTRAVENOUS | Dextrose 5% with 0.9% NaCl and KCl 40 mEq/L | ||||
| Dextrose 5% and Electrolyte No. 48 | SOLUTION, INTRAVENOUS | Dextrose 5% with Electrolytes (Electrolyte No. 48) | ||||
| Dextrose 5% in Lactated Ringers with Potassium Chloride 20 mEq/L | SOLUTION, INTRAVENOUS | Dextrose 5% in Lactated Ringers with KCl 20 mEq/L | ||||
| Sodium Chloride 0.45% with Potassium Chloride 20 mEq/L | SOLUTION, INTRAVENOUS | Sodium Chloride 0.45% with KCl 20 mEq/L | ||||
| Sodium Chloride 0.9% with Potassium Chloride 20 mEq/L | SOLUTION, INTRAVENOUS | Sodium Chloride 0.9% with KCl 20 mEq/L | ||||
| Sodium Chloride 0.9% with Potassium Chloride 40 mEq/L | SOLUTION, INTRAVENOUS | Sodium Chloride 0.9% with KCl 40 mEq/L |
High Alert Drug
: Policy
Last updated: Aug. 16, 2018
