In the ER where I work I am usually assigned to the Pediatric area, which i love! I have been a nurse for less than a year, so I am hoping that I can get an answer from someone who knows more than I do!
We have a protocol for the Febrile Neonate, and after the IV, blood, and Lumbar puncture, we give Ampicllin and Cefotaxime. My question is regarding how fast you administer these. I have been told two separate things. One is to give the ampicillin IVP over 3-5 minutes and the Cefotaxime over an hour, and the other is to give the Cefotaxime IVP over 3-5 minutes and the Ampicillin over an hour. What do you normally do? The books I look at go either way.
In our ER, we push both of them each over 3-5 min. Most of the docs do 50mg/kg/dose, so the dosages are the same. Our policy for gent is 30 min and Vanc is 1 hr.
Pedi-ER-RN, RN
103 Posts
In our ER, we push both of them each over 3-5 min. Most of the docs do 50mg/kg/dose, so the dosages are the same. Our policy for gent is 30 min and Vanc is 1 hr.