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CISatracurium

CISatracurium

Restricted Medications Cardiac Monitor (IV)

Brand names: Nimbex

Form	Strength
SOLUTION, INTRAVENOUS	2 mg/mL

Display Neuromuscular Blocking Agents Class: 122020

High Alert Drug : Policy

Medication comments:

CISatracurium should generally not be interrupted during procedures unless there is a specific physician order.

Refrigerator item

High Alert Drug: Neuromuscular blocking agents
• Stored in lidded or locked-lidded containers and labeled as PARALYZING AGENT in large red lettering in ICU, CCU, ED, Endo, OR, holding room, cath lab holding room. • Two RNs independently verify dosage prior to administration. • Storage bins labeled with fluorescent orange sticker as WARNING: PARALYTIC AGENT CAUSES RESPIRATORY ARREST in Pharmacy, ICU, CCU, ED, Endo, OR, holding room, cath lab holding room. • Separate locked drawer in Anesthesia cart and storage bins labeled with fluorescent orange sticker as WARNING: PARALYTIC AGENT CAUSES RESPIRATORY ARREST in Anesthesia.

High Alert Drug: Neuromuscular blocking agents

• Stored in lidded or locked-lidded containers and labeled as PARALYZING AGENT in large red lettering in ICU, CCU, ED, Endo, OR, holding room, cath lab holding room.
• Two RNs independently verify dosage prior to administration.
• Storage bins labeled with fluorescent orange sticker as WARNING: PARALYTIC AGENT CAUSES RESPIRATORY ARREST in Pharmacy, ICU, CCU, ED, Endo, OR, holding room, cath lab holding room.
• Separate locked drawer in Anesthesia cart and storage bins labeled with fluorescent orange sticker as WARNING: PARALYTIC AGENT CAUSES RESPIRATORY ARREST in Anesthesia.

Per policy, these medications require cardiac and/or special monitoring. (KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
generic (Brand) / Notes
CISatracurium (Nimbex) IV Push, IV Infusion Key: order set, vent	Y	N	N	N	N	N	N	N

Iredell Memorial Hospital ICU Adult Infusion Guidelines
The following orders are intended to provide a specific, safe, and effective means of initiating and titrating medications for critically ill patients. Physicians may modify doses and/or parameters as necessary pending patients' status.For all medications listed below, the responsible LIP is to be notified if unable to titrate or the maximum dose is reached andgoals of therapy are not met.
Drug Name	Onset	Preparation	Compatible fluids
CISatracurium (Nimbex)	2-3 min	100 mg/250 ml	NS or D5W
Starting Dose for ICU Sedation		Titration Guidelines (for increasing and decreasing doses) with Maximum dose
For ICU paralysis: Begin infusion at 1 mcg/kg/min.		For ICU paralysis: titrate by 1mcg/kg/min every 10 min to TOF 2-3 twitches. Max = 10 mcg/kg/min. Must be on MECHANICAL VENTILATION and must be INDEPENDENTLY VERIFIED by TWO RN'S.

Last updated: Apr. 17, 2024

Look-Alike/Sound-Alike CISatracurium confused with atracurium

Pharmacy Contact Info:

Main Inpatient Pharmacy: ext 4599, 3503
Fax: 704-878-7283

Director of Pharmacy - Randi Raynor, PharmD: ext 4501
Clinical Coordinator - Laura Rollings, PharmD: ext 4597
Pharmacy Informaticist - Stephen Pringle, PharmD: ext 7645
Pharmacy Technician Supervisor - Amy Wingler, CPhT: ext 7385
Pharmacy Automation Coordinator (Omnicell) - Melissa Fulford, CPhT: ext 3556

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While others may view accessible pages, Iredell Memorial Hospital makes no warranty, express or implied,
as to the use of this information outside of Iredell Memorial Hospital.
The content of this policy and procedure document serves as guidance to the delivery of quality patient care.
Care providers are expected to exercise critical thinking and situational awareness skills,
and in specific situations to take such action as is necessary for the delivery of quality patient care.