Vanco via peripheral line
[PDF File]Vancomycin Administration Through a Novel Midline Catheter ...
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as the indication for central line placement, despite the fact that 5 peer-reviewed, published articles and 2 scientiļ¬c posters attest to the relative safety of administering vancomycin via peripheral intravenous catheters, including midlines.12-18 Moreover, not 1 patient of the almost 2000 patients enrolled in these multiple studies sustained a
Safe Administration of Vancomycin through a Novel Midline ...
domized clinical trial comparing administration of vanco-mycin via PICCs with administration of vancomycin via a novel midline catheter. ETHICAL CONSIDERATIONS The IRB/Ethics Committee deemed approval unneces-sary in light of the fact that PICCs, midlines and peripheral intravenous catheters, all properly consented, were be-
[PDF File]Drugs To Be Infused Through A Central Line
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greater than 9 should be infused through a Central Line. Certain drugs are venous irritants regardless of pH or concentration. The following is a list of drugs that should be administered via a PICC or Central Venous Catheter whenever possible. Drug Brand Name(s) pH mOsmol / L Acyclovir Zovirax 10.5 - 11.6 316
[PDF File]Monographs for Commonly Administered Intravenous ...
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For a central line: Dispensed in an ambulatory cassette/multi -dose bag intended for an infusion pump, programmed to deliver total daily dose via preprogrammed boluses over 24 hours. Prior to connecting the patient to therapy, double check the pump programming versus the order . Recheck after each order change. For a peripheral line:
[PDF File]Irritants and Vesicants Guide to Intravenous ...
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peripherally or via midline short-term Methylene blue Vesicant Monitor No (E, F) Yes Central line preferred, do not wait for central line if emergent Mycophenolate Irritant Yes Yes Yes Peripheral: over 2 hours Phenytoin Vesicant Monitor No (E, F) Yes
[PDF File]PICC and Midline Catheters
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for central line PICC vs. Chest Does patient have history of difficult IV start and/or does therapy consist of multiple blood draws? Obtain MD order for CIS consult for midline/PICC placement. Is therapy planned for greater than 3 days? Place peripheral IV. Is therapy greater than 3 days but less than 4 weeks? Is therapy greater than 4 weeks ...
[PDF File]ADULT CONTINUOUS VANCOMYCIN INFUSION INFORMATION FOR ...
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Vancomycin continuous infusion must be administered via Central line or Midline . LOADING DOSE If the continuous infusion cannot be started within 4 hours of the last dose of intermittent infusion (please take into consideration of the lag time for pharmacy to deliver the medication), give a loading dose of 20 mg per kg (use actual body weight).
[PDF File]Guidelines for Monitoring of Vancomycin Serum ...
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Minimum dilution is 5 mg/mL in a peripheral line. 1. Patients with large volumes of distribution may require higher milligram per kilogram doses and serum concentrations are necessary to adjust doses as the volume of distribution changes. Initial
[PDF File]INTRAVENOUS VANCOMYCIN DOSING AND MONITORING GUIDELINES
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e)Instruct RN to draw levels via peripheral stick, but if from catheter (either lumen), stop vancomycin infusion for 30 seconds and flush well before drawing level 2. Pharmacist: a)Ivent elements: indication, Cl Cr, target C ss, pending levels, suggested monitoring b) Progress note using .phrase to communicate daily dose and targeted random level
[PDF File]Protocol for the Administration of Intravenous Vancomycin ...
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Guidance for the Administration of Intravenous Vancomycin in Adults via Intermittent (pulsed) InfusionVersion - 5 This document is also available in large print and other formats and languages, upon request.
[PDF File]ADULT GUIDELINE FOR ADMINISTRATION OF ANTIBIOTICS VIA ...
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appropriate for use via midline. Midlines reside less superficially than a peripheral intravenous catheter (PIV), and therefore extravasation injuries may be masked in comparison to a PIV.12 Prior to 2016, INS considered medications to be inappropriate for peripheral administration if they have a pH outside of the 5-9 range.
Vancomycin in peritoneal dialysis: Clinical pharmacology ...
50 Intraperitoneal vancomycin is the first line therapy in the management of peritoneal dialysis-related 51 peritonitis. However, due to the paucity of data, vancomycin dosing for peritonitis in patients on 52 automated peritoneal dialysis (APD) is empiric and based on clinical experience rather than evidence.
[PDF File]Antineoplastic Drug Administration: Vesicant and Irritant ...
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• Ensure good blood return from the peripheral or VAD line. • Avoid using a VAD without a blood return until patency has been verified (as with a dye study). • Use a large vein for peripheral administration, and ensure patent access. • Select an appropriate cannula type and size. • Insert a new IV line (if more than 24 hours old).a,b
[PDF File]IV Drug Compatibility Chart - Weebly
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IV Drug Compatibility Chart A Alteplase (Activase, rTPA) Amiodarone (Cordarone) Argatroban Atropine Calcium chloride Diltiazem (Cardizem) Dobutamine (Dobutrex) Dopamine Epinephrine (Adrenalin) Esmolol (Brevibloc) Furosemide (Lasix) Heparin Insulin (regular) Lidocaine (Xylocaine) Lorazepam (Ativan) Magnesium Sulfate
[PDF File]Nursing Management of Venous Access Devices: An Overview ...
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Central Line Catheters (e.g. Bard Powerline) Heparin 10 units/ml; flush with 5 ml (50 units). After completion of any infusion or blood sampling, at least once every 24 hours. Adult Heparinization Continued Flush after each use or at least every 7 days when not in use.
[PDF File]VANCOMYCIN : CONTINUOUS INFUSION PROTOCOL
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• Consideration should be made for insertion of a PICC line in patients who will require IV vancomycin for more than a few days after the acute phase eg. Osteomyelitis. • Extravasation of vancomycin needs to be detected quickly and the IV site changed to avoid complications and delays in vancomycin delivery.
[PDF File]Reference ID: 4233989
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• Use a dedicated line without any connections to avoid air embolism. • The choice of a central or peripheral venous route of infusion should depend on the osmolarity of the final infusate. Solutions with greater than 5% dextrose or with . Reference ID: 4233989.
[PDF File]Midline Administration of Long-term Intravenous Vancomycin
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safe administration of vancomycin via peripheral access Jona V. Caparas, MSN, RN, CRNI, VA-BC VAT Team Coordinator, New York Hospital Queens, NY Jian-Ping Hu, BSN, RN , PICC Nurse New York Hospital Queens, NY METHODS All patients referred to the VAT and requiring vancomycin for 6 days or more were included in the study, provided
[PDF File]Critical Care Intravenous Drug Administration Guide
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Irritant, use central line if possible, especially for repeated or continuous infusions. Use via peripheral lines may cause discomfort and inflammation. Monitor: BP, HR, RR, rapid administration may cause hypotension & anaphylactic shock, sweating, nausea and in patients with respiratory failure, bronchospasm and apnoea. Cardiac monitoring ...
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