**ALWAYS establish patent IV access and flush PRIOR to mixing medication**
Pharmacy specific orders / instructions always supersede the Agency guidance provided below. If in doubt, do not guess, call our office, or tag @TeamHelp-CareCoordination(Best Tag) and ask for Clinical Support.
ALWAYSÂ establish IV access prior to mixing any meds
ALWAYSÂ make sure you have everything you need to complete infusion before you begin
ALWAYSÂ confirm your medication dose against the medication label and orders
ALWAYSÂ reach out to us first (not the Pharmacy) with any questions
NEVERÂ tell a Pt you have not given a particular medication before
MIXING
Obtain a clean space to prepare ZOMETA
Be sure all the necessary supplies are available to complete infusion from beginning to end
You will need IV start supplies, alcohol, gravity flow tubing, and syringe
Withdraw ZOMETA from vials and add to 100 ml of 0.9% Sodium Chloride or 5% Dextrose Injection
Spike the bag and prime the tubing
ADMINISTRATION
Take baseline vitals and document basic assessment
Administer any ordered pre-medications
Spike the bag and prime the line
Infuse over no less than 15 minutes
Record vitals every 15 minutes after infusion start AND 5-10 minutes post infusion
Record lot numbers and expiration dates for vials used
Flush IV line with 10 ml of normal saline
Disconnect patient, flush line and remove IV
Place pressure bandage at site
Clean and dispose of used supplies
ADDITIONAL INFO
Website:Â Pfizer Zoledronic Acid;Â Zometa