INFLECTRA (IV)

Infliximab-dyyb

ALWAYS establish patent IV access and flush PRIOR to mixing medication

ALWAYS establish IV access prior to mixing any meds

ALWAYS make sure you have everything you need to complete infusion before you begin

ALWAYS confirm your medication dose against the medication label and orders

ALWAYS reach out to us first (not the Pharmacy) with any questions

NEVER tell a Pt you have not given a particular medication before

Obtain a clear/clean space to prepare your bag of Inflectra.
Pharmacy will provide syringes and needles to prepare medication. Be sure all the necessary supplies are available to complete infusion from beginning to end.
You will need IV start supplies, syringe, needle, and sterile water for reconstitution, bag of NS, tubing (gravity tubing or pump tubing if using a pump).
Reconstitute each 100mg vial with 10ml of Normal Saline.
Swirl gently to mix.
Determine the volume of Inflectra to be infused. Remove and discard that volume of saline from the saline bag.
- For example, if the ordered dose of Inflectra is equivalent to 40mL, then remove 40mL of saline from bag.
- **Please read the label on the Saline bag very carefully to confirm if the volume equal to the dose needs to be removed. Some Pharmacists will remove the volume beforehand.
Add Inflectra to Normal Saline bag and mix gently.

Take baseline vitals and document basic assessment.
Spike the bag of Inflectra & set med up on pump to infuse over 2 hours.
Monitor patient for any adverse reactions. Take vitals one hour into infusion and record.
Record vitals every 15 minutes after infusion start for the 1st hour, hourly thereafter AND 5-10 minutes post infusion.
Record lot numbers and expiration dates for vials used.
Disconnect patient, flush line, and remove IV. Place pressure bandage at site.
Clean and dispose of used supplies.

Medication Guide: PDF Download