Vancomycin extravasation protocol

    • Can you give vancomycin intramuscularly?

      Vancomycin is very irritating to tissue, and should not be given intramuscularly as this causes injection site necrosis. It must be given by slow intravenous infusion using a dilute solution to reduce the risk of tissue necrosis if extravasation occurs. Vancomycin should not be given rapidly due to the risk of infusion reactions.

    • What is the purpose of a vancomycin guide?

      Purpose/description: To provide guidance for medical, nursing and pharmacy staff about how to dose, monitor and administer intravenous vancomycin safely and effectively in adults. It is the responsibility of all staff to ensure that they are working to the most up to date and relevant policies, protocols procedures.

    • What is a vancomycin infusion reaction?

      “Vancomycin infusion reaction” is characterized by hypotension and/or a maculopapular rash appearing on the face, neck, trunk, and/or upper extremities. Initial: A single level should be drawn within the first 24-48 hours after the first dose. appropriate, repeat levels may be spaced out (i.e. after 48-72 hours). Changes in dosing parameters or

    • [PDF File]Extravasation/Infiltration Management Chart

      https://info.5y1.org/vancomycin-extravasation-protocol_1_c24286.html

      Trough-based protocol Trough 15-20 mg/L • In general, goal AUC/MIC ≥ 400 for S.aureus • Monitor closely with trough > 15 or AUC > 650: increased risk of nephrotoxicity • Vancomycin may be continued in clinically responding patients with MRSA w/vancomycin MIC = 2; consider ASP or ID consult

    • [PDF File]GUIDE TO EXTRAVASATION MANAGEMENT IN ADULT & PEDIATRIC PATIENTS

      https://info.5y1.org/vancomycin-extravasation-protocol_1_b99cc8.html

      (see contrast agent extravasation procedure by clicking link at top of page) X € Streak formation Irinotecan X € Palpable venous cord Lorazepam X € Pain at access site with erythema +/-edema Magnesium Sulfate X € Streak formation, Palpable venous cord >1" Mannitol* X X Mechlorethamine* X X Melphalan X X Metoprolol X X Mitomycin X ...

    • [PDF File]Protocol for the Administration of Intravenous Vancomycin in ...

      https://info.5y1.org/vancomycin-extravasation-protocol_1_614eed.html

      150 units (1 mL) given as five 0.2 mL injections into the extravasation site at the leading edge; change the needle after each injection. Phentolamine (Regitine) 2,5. Prepare by diluting 5 mg phentolamine in 10 mL of 0.9% sodium chloride. Inject subcutaneously into the extravasation area within 12 hours of extravasation.

    • [PDF File]Extravasation1 Management (Vesicant and Contrast Agents)

      https://info.5y1.org/vancomycin-extravasation-protocol_1_f61ce4.html

      solution to reduce the risk of tissue necrosis if extravasation occurs. Vancomycin should not be given rapidly due to the risk of infusion reactions. The intravenous use of vancomycin may be associated with the so-called 'red-neck' or 'red-man' syndrome, characterised by erythema, flushing, or rash over the face and upper

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