Antibiotics during dialysis

[TELEpathicRN]

Hi all. I am new to dialysis and have a question... I was wondering if any of you had any info on administering antibiotics while the pts are dialyzing. My clinic doesnt have a specific policy for each antibiotic....please help. Just wondering how and when during the treatment do you admin some of the most common antibiotics, such as vanco, gent and ancef. Thanks in advance.

[day2]

From an RCG unit Vanco last hour, Gent and Cipro 15-30mins post tx.

[kaffenoir]

Hi,

I work in an acute care setting (hosp) and we have a chart which tells you which meds dialyze out. You can get them from the drug reps ie.. Pfizer etc..

Nevertheless, Vancomycin should be given the last hour of the treatment, and gent should be given post dialysis only, as it dialyzes out. Pushing it during rinse back is contraindicated as it causes ototoxicity. As a matter of fact we just had a pt. that had ototoxicity from nurses pushing it. Gent should be given over 30-60 mins. Ancef and fortaz are also post tx. If you need more info, or a protocol pm me back.

kaffenoir

[Farkinott, RN]

I'm from Oz and in the unit I work in we give Genta over an hour once the dialysis is finished. We do not administer Genta until we know the serum levels. Vanco (same with serum level) is given at any time through the dialysis as it is not dialysed off, though the last hour is the usual time frame ("for Justin")...............................that's aussie for just in case. Some of your brand names for medications are confusing. That is one of the reasons we try and stay with the generic name of the drug. If the generic is used then no mistakes can be made! Sorry..............sounds like didactic tactics!

It's great to be able to get ideas from other renal nurses worldwide so let's keep the communications going!