How long is too long to give "No PIV meds" in a PIV?

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  • Specializes in ER, Med/Surg. Has 8 years experience.

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Specializes in intensive care major medical centers.

I agree with above posters ! is the patient going home on iv meds?? but vanco goes ok thru piv's

kanzi monkey

618 Posts

Has 5 years experience.

If the pt is going home with PO vanco, then they can take it now because they have

C-diff--oral vanco and flagyl (IV or PO) are usually the best choices. I don't know of any other circumstance where PO vanco is used. If the pt is being treated for MRSA and is going home on IV vanco, they need a PICC line.

At my facility, we give vanco all the time through a peripheral. Most post-op pt's with PCN allergies will get vanco instead of a cephalosporin. Short term abx are usually given through a PIV--long-term abx will eventually need a PICC. Some pt's who are really hard sticks will get a short term IJ instead of a peripheral.

Specializes in Pediatric/Adolescent, Med-Surg.

Interesting topic I work peds and give my kids Vanco through peripherals all the time...no policy or such contraindicating it here. The only reason we put PICC's in r/t IV meds is if the pt is going home on them/going to be on IV meds for an extended time in the hospital/ or the the pt will also be on TPN.

Pat_Pat RN

472 Posts

Specializes in ER, Med/Surg. Has 8 years experience.

A little more info:

The patient was admitted with a "suspected" MRSA abscess. Turned out not to be MRSA.

Will be going home tomorrow, probably on oral Rifampin.

This is all moot information to my original question though...

blondy2061h, MSN, RN

1 Article; 4,094 Posts

Specializes in Oncology. Has 15 years experience.

We give vanco 1gm in 250 mls for PIVs and vanco 1gm in 100 mls for central access.

Specializes in Critical Care.
"Vancomycin PO doesn't for anything but gut-related infections (C. diff colitis for instance). No real system absorption that route."

"the doctor that wants to prescribe PO vancomycin for a non-enteral staph infection needs a swift kick to the side of the head."

I've missed something - seriously? PO Vanco is worthless against MRSA unless it's enteral?

PO vanco has very poor systemic availability. It basically stays in your gut.

Consequently, it only works on bacteria in your gut.

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