Pharmacology Decision Support · Ward & ICU Ready

IV Y-Site Compatibility Matrix

Verify compatibility before running concurrent continuous infusions or piggybacks through shared lumens. Prevent physical precipitation, catheter occlusion, and chemical drug degradation.

Point-of-Care Clinical Reference

IV Y-Site Compatibility & Diluent Matrix

Cross-check multi-line infusions for precipitate formation, acid-base neutralization, and diluent safety.

Load Regimen:
Critical Safety Warning2 Incompatible Drug Pairs Detected in This Regimen!

Do NOT infuse these medications through the same Y-site lumen or IV extension set. Mixing in the line will cause visible/microscopic precipitation, catheter occlusion, or pharmacological inactivation.

Active Multi-Infusion Regimen

Select or deselect medications to inspect your concurrent bedside IV line plan.

Norepinephrine (Noradrenaline)HIGH-ALERT
Fentanyl CitrateHIGH-ALERT
Midazolam HClHIGH-ALERT
Pantoprazole Sodium

Y-Site Compatibility Grid

Click any intersection cell to inspect the exact chemical mechanism and pH interaction.

Compatible
Incompatible
Caution
No Data
MedicationNorepinephrineFentanylMidazolamPantoprazole
Norepinephrine (Noradrenaline)
pH 3.0 – 4.5
—
Fentanyl Citrate
pH 4.0 – 7.5
—
Midazolam HCl
pH 3.0 – 3.6
—
Pantoprazole Sodium
pH 9.0 – 10.5
—

Diluent Compatibility & Administration Protocols

Carrier fluid selection, light protection, and in-line filter requirements for active medications.

Norepinephrine (Noradrenaline)pH 3.0 – 4.5
Preferred:
D5WD5NS
Avoid/Contra:
Sodium BicarbonateAlkaline solutions
Protect from LightHigh Alert Drug

D5W preferred over NS to protect against oxidation. Incompatible with alkaline solutions (inactivated). Dedicated lumen recommended.

Fentanyl CitratepH 4.0 – 7.5
Preferred:
NSD5W
High Alert Drug

Synthetic opioid. Compatible with most vasoactive infusions; incompatible with Pentobarbital.

Midazolam HClpH 3.0 – 3.6
Preferred:
NSD5W
Avoid/Contra:
Ringer Lactate (long-term)PantoprazoleSodium Bicarbonate
High Alert Drug

Acidic drug (pH ~3.3). Mixing with alkaline drugs (Pantoprazole, Bicarbonate, Furosemide) causes instantaneous heavy white precipitate.

Pantoprazole SodiumpH 9.0 – 10.5
Preferred:
NSD5W
Avoid/Contra:
Acidic medications (Midazolam, Fentanyl, Ondansetron)
In-line filter recommended for continuous infusion

Strongly alkaline (pH >9.5). Instantly causes cloudy precipitate when Y-sited with acidic sedatives (Midazolam, Dexmedetomidine) or antiemetics (Ondansetron).

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Search across 30+ emergency, ICU, and ward injectables commonly used across acute care facilities.

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