You must obtain these solutions from a compounding pharmacy. This is a pharmacy capable of making these solutions under all the rules and regulations for such services. This is not usually done in a hospital based pharmacy. There are special compounding pharmacies in all areas though. You will just have to locate one in your area.
I saw this recommended I think in Bard literature in regards to the Power PICC's. Something about not using ETOH with them. BTW: sodium hydroxide + lipids = soap.
ETOH is a solvent on many of the polyurethane catheters. Some newer brands made with the latest formulation of polyurethane have greater resistence to ETOH, however I am not aware of any catheter manufacturer that has addressed the issue of locking a catheter with ETOH and what that could do to the catheter material over time. There are a couple of published lab studies though about this practice showing no material changes on 2 formulations of polyurethane. The catheter manufacturers continue to have warnings about ETOH exposure in the IFU. Lynn
Will your pharmacy dispense 70% ethanol?
You must obtain these solutions from a compounding pharmacy. This is a pharmacy capable of making these solutions under all the rules and regulations for such services. This is not usually done in a hospital based pharmacy. There are special compounding pharmacies in all areas though. You will just have to locate one in your area.
Lynn Hadaway, M.Ed., RN, BC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
NaOH will work against base soluble drug deposits. If lipid deposits are what you are looking to address, you must use 70% ETOH.
RA Nishikawa, Pharm. D., BCNSP, FCSHP
RA Nishikawa, Pharm. D., BCNSP, FCSHP
Coordinator, Clinical Services
Director of Research
Nutrishare, Inc.
Elk Grove, CA
I saw this recommended I think in Bard literature in regards to the Power PICC's. Something about not using ETOH with them. BTW: sodium hydroxide + lipids = soap.
ETOH is a solvent on many of the polyurethane catheters. Some newer brands made with the latest formulation of polyurethane have greater resistence to ETOH, however I am not aware of any catheter manufacturer that has addressed the issue of locking a catheter with ETOH and what that could do to the catheter material over time. There are a couple of published lab studies though about this practice showing no material changes on 2 formulations of polyurethane. The catheter manufacturers continue to have warnings about ETOH exposure in the IFU. Lynn
Lynn Hadaway, M.Ed., RN, BC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861