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Name /bks_52233_bing/52233_ch03_a pg 57 # 3 Acetaminophen 57 Acetaminophen a Storage Conditions Temperature Post-thaw Temp Drug Manufacturer Concentration Diluents Osmolality (mOsm/kg) pH Room Refrig Frozen Room Refrig Body Temp Refer. CONTAINER Bags, Plastic CAD 10 mg/mL undiluted c b 6h n/a n/a n/a n/a n/a 1 Polyolefin CAD 10 mg/mL undiluted c b 6h n/a n/a n/a n/a n/a 2 Polyvinyl Chloride (PVC) CAD 10 mg/mL undiluted c b 6h n/a n/a n/a n/a n/a 2 Syringes, Plastic (BD) CAD 10 mg/mL undiluted c b 6h n/a n/a n/a n/a n/a 1, 2 Syringes, Polypropylene CAD 10 mg/mL undiluted c b 84 h n/a n/a n/a n/a n/a 4, 5 OTHER INFUSION CONTAINERS Glass CAD 10 mg/mL undiluted d c b 6h n/a n/a n/a n/a n/a 1 BMS 10 mg/mL undiluted d,e n/a 3.76.6 48 h n/a n/a n/a n/a n/a 3 CAD 10 mg/mL undiluted d c b 84 h n/a n/a n/a n/a n/a 4, 5 Flush Compatibility: Heparin sodium and normal saline. 2 Special Considerations: Store at room temperature; do not refrigerate or freeze. 1 Notes a Acetaminophen is known internationally as paracetamol. 1 b pH of undiluted solution is approximately 5.5. 1 c Osmolality of undiluted solution is approximately 290 mOsm/kg. 1 d Undiluted, after opening and within original glass vial. e With ketoprofen (Profenid, SAV) 100 mg added to paracetamol a (Perfalgan, BMS) 10 mg/mL in original glass vial. References 1. Ofirmev [package insert]. San Diego, CA: Cadence Pharmaceuticals, Inc.; November 2010. 2. Navarrete T, Medical Information Services [personal communication]. San Diego CA: Cadence Pharmaceuticals; September 27, 2012. 3. Kambia NK, Lyuckx M, Dine T, et al. Stability and compatibility of paracetamol injection admixed with ketoprofen. Eur J Hosp Pharm. 2006; 12:81 4. 4. Kwiatkowski JL. Extended stability of intravenous acetaminophen in syringes and opened glass bottles. ICHP Annual Meeting, September 2012. 5. Kwiatkowski JL, Johnson CE, Wagner DS. Extended stability of intravenous acetaminophen in syringes and opened vials. Am J Health-Syst Pharm. 2012; 69:19992001.

Example extended stability for parenteral drugs5th acetaminophen

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Page 1: Example   extended stability for parenteral drugs5th acetaminophen

Name /bks_52233_bing/52233_ch03_a pg 57 # 3

Acetaminophen

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