Vancomycin infiltration protocol

• [PDF File]INTRAVENOUS VANCOMYCIN DOSING/MONITORING IN ADULTS

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  2. Check a vancomycin level at 24-48 hours post-dose or with am labs on the day of the next hemodialysis session (if applicable) to obtain an estimated steady state level a) High flux filters in HD will remove ~ 20-40% of the vancomycin dose during dialysis. b) Pre-dialysis vancomycin levels will be used for assessment (if applicable) 3.

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• [PDF File]VANCOMYCIN NOMOGRAM FOR ADULT PATIENTS: GOAL AUC24 400-600

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  Approximately 90% of patients will have vancomycin discontinued within 48-72 hours and most patients do not require levels Documented gram positive infection requiring vancomycin • Obtain 2 vancomycin levels at steady state (e.g., around 4th dose) and calculate AUC, and adjust dose to achieve goal AUC of 400-600

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• Vancomycin Dosing for Adults - University Health System

  Switching from intermittent dosing to CI vancomycin o **NOTE** patients on CI vancomycin tend to accumulate vancomycin and require a lower total daily dose than intermittent therapy . o If patient therapeutic on intermittent therapy: Add up total dose of vancomycin and reduce by 10-20% Round to nearest 250 mg

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• [PDF File]Extravasation/Infiltration Management Chart - Johns Hopkins University

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  Blood product, irritant, or vesicant infiltration Etomidate X X X Etoposide X X Phlebitis Grading Scale Fluorouracil X X Grade Clinical Criteria Gemcitabine X X 0 € No symptoms Gemtuzumab X X 1 € Erythema at access site +/- pain Idarubicin* X X 2 € Pain at access site with erythema +/- edema Ifosfamide X € Pain at access site with ...

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• Vancomycin extravasation: Evaluation, treatment, and avoidance of this ...

  Vancomycin extravasation was successfully managed by utilizing cold compress for the first 24 hours post-extravasation with common gauze open dressings and silver sulfadiazine 1% until the wound ... protocol was initiated and the patient was transferred to the ICU for further treatment. Diabetic ketoacidosis resolved

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• [PDF File]Intravenous Vancomycin Use – Adult – Inpatient/Ambulatory Clinical ...

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  Intravenous Vancomycin Use Clinical Practice Guideline 4 . 11. HCAP: Healthcare-associated pneumonia 12. CAP: Community-acquired pneumonia 13. ABSSSI: Acute bacterial skin and skin structure infection 14. MIC: Minimum inhibitory concentration 15. HD: Hemodialysis 16. CRRT: Continuous renal replacement therapy 17. CVVHD: Continuous veno-venous hemodialysis

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• [PDF File]VANCOMYCIN : CONTINUOUS INFUSION PROTOCOL - Broome Docs

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  vancomycin. This is particularly problematic in the Kimberley where we have endemic MRSA causing severe infections and a population of patients who are at risk from renal toxicity and cardiac complications of severe disease. One strategy that can be used to simplify the dosing and monitoring of vancomycin is the use of a continuous infusion ...

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• Vancomycin Dosing and Monitoring in Adults Clinical Guideline

  Vancomycin Dosing and Monitoring in Adults. 1. Introduction . Vancomycin is a glycopeptide antibiotic. Intravenous formulations are used to treat infections with Gram-positive bacteria and for surgical prophylaxis in some situations. The SA Medicines Formulary restricts use of intravenous vancomycin to the following indications in adults: >

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

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  Adapted from: Saint Francis Hospital Department of Pharmacy Services Protocol . Hyaluronidase (Amphadase [bovine]) 2. Preparation: Use solution as provided (150 unit/1 mL vial); do not dilute further. Inject subcutaneously or intradermally into the extravasation site using a 25-gauge needle or smaller. Dosage: The dose is

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• [PDF File]INTRAVENOUS VANCOMYCIN DOSING AND MONITORING GUIDELINES - UC Davis

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  ADULT INTRAVENOUS VANCOMYCIN DOSING AND MONITORING GUIDELINES DOSE: Adult dose: (based on actual body weight (ABW))*,^: 12.5 to 15 mg/kg (round off to nearest 250 mg increment, to max dose of 1500mg; see dosing table) * If ABW is > 30% ideal body weight (IBW), then use adjusted body weight = IBW + 0.4(Total body weight - IBW) IBW Males = 50 kg + 2.3 kg for each inch > 60 inches IBW Females ...

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• Treatment and Care of Peripheral Intravenous Extravasations

  Infiltration- inadvertent administration of non-vesicant medication or fluid into the surrounding tissues. Irritant- agents capable of causing pain, swelling, venous irritation and chemical phlebitis at the injection ... Refer to wound protocol for EMR documentation/Complete eRAF . APPENDIX A . Algorithm for Evaluation and Treatment of IV ...

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• [PDF File]Safe administration of vancomycin through a novel midline catheter: a ...

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  phlebitis with vancomycin than with the control group. None of the 1,848 cases reported in the literature suffered tissue injury as a result of vancomycin infiltration. This research prompted the VAT to explore whether, after placement of the midline study device for other in-dications, physicians at NYHQ had decided to use it for

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• [PDF File]ADULT CONTINUOUS VANCOMYCIN INFUSION INFORMATION FOR PHARMACISTS ONLY

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  vancomycin, an alternative mode of administration, can be used to achieve an optimal daily exposure (AUC0-24 of 500 -740 mg*h/mL) while requiring a lower total daily dose than vancomycin intermittent infusion that aims for trough concentration of 15-20 mg/L in patients with high vancomycin clearance.

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• [PDF File]3364-133-125 Treatment of Intravenous Non-Chemoterapeutic Extravasations

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  Infiltration refers to the inadvertent administration of a non-vesicant medication or solution into the tissue surrounding the IV catheter. D: Risk Factors, Recognition and Treatment: 1. Risk Factors for Extravasation: a. Elderly patients b. Vascular disease, ischemia, obstruction c. Prior radiation to arm or axilla d. Small vessel diameter e.

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• [PDF File]SBUH Vancomycin Dosing Protocol for Adult Patients Initial Vancomycin ...

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  SBUH Vancomycin Dosing Protocol for Adult Patients (Continued) Vancomycin Dosing Recommendations for patients receiving intermittent Hemodialysis ADULT Vancomycin Dosing - ESRD on Intermittent HD Skin and Soft Tissue Infections First Dose Subsequent Dosing: Give Vancomycin after hemodialysis. 15 -20 mg/kg based on actual body

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• [PDF File]SHC Vancomycin Dosing Guide - Stanford University School of Medicine

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  A. Do not restart vancomycin until the random/trough level is estimated or confirmed to be at/near 10-20 mg/dl. Allow sufficient time for drug clearance before restarting next dose. B. Actions may include: pre-emptive dose adjustment, holding dose, checking level, discussion with provider, reassessing the need for vancomycin therapy.

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• [PDF File]Vancomycin per Protocol - Stanford Health Care

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  Select “Vancomycin per Pharmacy Protocol” to indicate that pharmacist should manage therapy −Modeled after “Warfarin per Protocol” −Do NOT need to enter a vancomycin dose Specify: −Initial Indication: Prophylaxis, empiric, definitive −Suspected or definitive infection type: pneumonia, cellulitis, etc.

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• [PDF File]IV EXTRAVASATION MANAGEMENT - Sydney Children's Hospital

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  with or without erythema at the site. Often when an infiltration occurs with an irritant agent, local treatments such as application of heat or cold may improve the reaction and decrease the pain. Finally, irritant extravasations may cause sclerosis andhyperpigmentation along the vein. Usually the symptoms disappear without long-term sequelae.

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

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  Intravenous Vancomycin in Adults via Intermittent (pulsed) Infusion . Introduction and Rationale . This protocol details the dosing, prescribing, monitoring and administration of intravenous vancomycin as an intermittent (pulsed) infusion. 1. Vancomycin can also be administered as a continuous infusion, when practical, for

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