Palliative Care Guidelines - NHS Lanarkshire

Palliative Care Guidelines: McKinley T34 syringe pump drug compatibility & stability chartsTable 2: Subcutaneous Diamorphine infusion in a McKinley T34 Syringe PumpDiluent: Water for injections• These are not clinical doses to prescribe. Most patients do not need such high doses.Read the relevant guidelines.• Use this table to check for concentrations that are stable.• Refer to the relevant guideline to obtain the usual dose range for each of the medications. Usethe minimum effective dose and titrate according to response.Drug CombinationConcentrations of two drug combinations that arephysically stable17ml in 20ml syringe22ml in 30ml syringeDiamorphineCyclizineDiamorphineGlycopyrronium bromideDiamorphineHaloperidolDiamorphineHyoscine butylbromideDiamorphineHyoscine hydrobromideDiamorphineKetorolacDiamorphineLevomepromazineDiamorphineMetoclopramideDiamorphineMidazolamDiamorphineOctreotide340mg150mg425mg1200 micrograms800mg10mg1200mg120mg1200mg1200 micrograms90mg30mg850mg100mg2500mg85mg560mg80mg425mg900 micrograms3300mg110mg720mg100mgDrug CombinationConcentrations of three drug combinations that arephysically stable17ml in 20ml syringe22ml in 30ml syringeDiamorphineCyclizineHaloperidolDiamorphineHaloperidolMidazolamDiamorphineHyoscine butylbromideMidazolamDiamorphineLevomepromazineMetoclopramideDiamorphineLevomepromazineMidazolam340mg150mg10mg800mg7.5mg65mg120mg80mg20mg850mg100mg50mg850mg50mg30mg1000mg10mg80mg150mg100mg25mg1100mg60mg40mg2 Issue date: January 2009 Review date: March 2012 © NHS Lanarkshire