VRE- A question

Nurses General Nursing

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Specializes in RN, BSN, CHDN.

If a patient was VRE positive, and vancomycin for C/Diff Q 8 hours PO is ordered. Would you question the order?

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Specializes in Trauma ICU, MICU/SICU.

I think I would. Don't they usu order Flagyl for C. Diff anyway?

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Specializes in ICU, Research, Corrections.
If a patient was VRE positive, and vancomycin for C/Diff Q 8 hours PO is ordered. Would you question the order?

I have had PO Vanco ordered before for C. Diff personally. It is more effective than IV Flagyl. It is the only use for PO Vanco; it is not effective if given IV for C. Diff.

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Specializes in Critical Care, Cardiothoracics, VADs.

I'd probably ask, but I assume the VRE is being treated with another agent, and the Vanco is for the C.diff - which I'd think was ok.

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Specializes in cardiac/critical care/ informatics.

It probably is not the c-diff that is vre, and the vre is probably being treated with something else.

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Specializes in DD, Geriatrics, Neuro.

I would question it, if only for clarification. I don't like giving meds if there is one shred of doubt as to why/what for.

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