Timing of antibiotics

  1. 0 I was always taught to give ampicillin first then gentamicin 2 hours late to avoid incompatiability. Is this still the way it is done? Thanks for your help.
  2. Visit  asher315 profile page

    About asher315

    asher315 has '31' year(s) of experience and specializes in 'Babies, peds, pain management'. From 'Arkansas'; Joined Jun '03; Posts: 110; Likes: 43.

    7 Comments so far...

  3. Visit  NicuGal profile page
    2
    We give Amp first because it is a faster infusion time then Gent right after. We flush in between so the meds are separated.
    aerorunner80 and poppycat like this.
  4. Visit  katierobin23 profile page
    1
    Quote from NicuGal
    We give Amp first because it is a faster infusion time then Gent right after. We flush in between so the meds are separated.
    Ditto

    Our unit also stocks Amp in the Pyxis while Gent has to come up from pharmacy, so that's another reason the Amp gets administered first.
    poppycat likes this.
  5. Visit  SteveNNP profile page
    3
    Ampicillin is safe to give slow push, then flushed and gent is placed on a syringe pump. They are incompatible if mixed in the same syringe or given at a Y-site together. Giving them back to back is not a big deal. IMHO it's better to get both gram + and gram - coverage onboard ASAP when a kid comes in sick.
    rnkaytee, Elvish, and Bortaz, RN like this.
  6. Visit  Bortaz, RN profile page
    0
    Quote from SteveNNP
    Ampicillin is safe to give slow push, then flushed and gent is placed on a syringe pump. They are incompatible if mixed in the same syringe or given at a Y-site together. Giving them back to back is not a big deal.
    I had intended to say the very same thing as you posted, but got busy and forgot.
  7. Visit  NICURN29 profile page
    0
    Our first doses of amp and gent are profiled at the same time, soon after admission. And we usually choose to give the amp first due to the quicker infusion time, but it's really up to the individual nurse. There is no policy governing it.
  8. Visit  rnkaytee profile page
    0
    We have a goal to get antibiotics infusing within 1 hour of ordering so waiting the 2 hours would defeat that purpose - we just give Amp and then gent right after - we also stop HA while giving Amp.
  9. Visit  Jory profile page
    0
    Quote from NicuGal
    We give Amp first because it is a faster infusion time then Gent right after. We flush in between so the meds are separated.

    This is what we do. If you flush, there are no issues with incompatibility.


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