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D5 1/2 NS
D5 1/4 NS
D5LR
D5W
DALBAVACINE FACT SHEET
IV MEDICATIONS-REFERRAL LISTING
IV MEDICATIONS APPROVED BY POLICY
Daptomycin
Darbepoetin Alfa
Demadex
Diflucan
Dilaudid - Risk Level 1 if given via epidural
                Risk Level 2 for IV Route 
                       See Epidural Intrathecal Line Procedure in Procedure Manual and 
                              Patient Controlled Analgesia Procedure in Procedure Manual

Dilaudid HP - Risk Level 1 if given via epidural
                      Risk Level 2 for IV Route 
                        See Epidural Intrathecal Line Procedure in Procedure Manual and
                               Patient Controlled Analgesia Procedure in Procedure Manual
Diphenhydramine
Diuril - Risk Level 1
Dobutamine - Risk Level 1 Med Inotropic Procedure
Dolophine - Risk Level 1 -  See Patient Controlled Analgesia Procedure in Procedure                                             Manual
Dorabax
Doripenun
Doxorubicin - Risk Level 1 - See Med Chemotherapeutic Agents Procedure in Procedure                                                    Manual
Doxy100
Doxycycline
Duramorph - Risk Level 1 - See Epidural Intrathecal Line Procedure In Procedure Manual

Risk Level 1:
IV Program Manager or Clinical Director approval before referral is accepted

Risk Level 2:
IV Program Manager notification; Clinicians must review Special Instructions

Risk Level N/A:
Routinely given; Clinician must be approved to administer IV medications

Notes:
Only drugs listed as First Dose Allowed may be given in the home as a first dose and are considered for a first dose on a case by case basis by the IV Program Manager. The IV Manager and/or Clinical Director must be consulted before a first dose referral is accepted.


























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