Here are some recommended steps to follow: Lay out all materials used to complete the IV, including the injectables being used Individually check each injectable label to confirm that it is the correct solution and that the expiration date or BUD has not passed Closely look at the solution to confirm that it is not cloudy or crystalized Check the supplies to make sure they are properly packaged and not damaged Confirm that all the correct supplies are present Place the components in the bag and then label the bag with the patients ID (e.g., initials, last name, and/or date of birth) and time of preparation Once completed, check the bag for incompatibilities and make sure the solution flows through the tubing without leaking by opening the valve and allowing the solution to run Cover the bag with tin foil if it contains light-sensitive ingredients, such as vitamin B12 Patient Consultation and Observation As mentioned above, vitals should be checked and recorded prior to each infusion

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doi:10.1093/jmcb/mjw014 233
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Henry Ford Health notes that combining growth hormone secretagogues without proper monitoring can lead to insulin resistance, water retention, and joint discomfort in some patients