vancomycin iv over 1 hour

  1. An out patient infusion is getting vancomycin 1500 mg in 250ml once a day. Does anyone know if this can still be given over one hour in a central line.
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    Joined: May '05; Posts: 25


  3. by   Teachchildren123
    I doubt that the vanco should be given that fast. 1 mg per hour is usually the rate. When in doubt, check with the pharmacist. Too fast may really damage the kidneys.
  4. by   pricklypear
    1 gram ofvanco should be given over 90 minutes. I would probably run 1.5 gr over 2 hours at least. But that kinda sucks for an outpatient to have to sit around for 2 hours.
  5. by   NessaNurse
    i would dilute it to 300 ml. Vanco should be diluted to 5mg/ml strength. Always. I would give it over 1.5 hrs myself. Of coure it all depends on the pt. If theyve been getting it over 1 hr for awhile they might be ok with that dose, byt High doses lead to red mans II've seen it 1x on one of my pts and she had it running over 2 hrs!). If Hx of redmans it will be charted and they should get beadryl prior to dose.
  6. by   sjb2005
    90 minute infusion would be the fastest I would deliver it.
  7. by   NessaNurse
    I see some nurses do IV vanco only over 1 hour. Ass in never over more. Sheesh. I work Peds though. 1500 looks like HUGE dose to me, but then again I'm used to much smaller pts. If PIV I always infuse over at lease 2 h btw. Againg depends on your pt. Is it the lst time receiving vanco?
  8. by   sharann
    1500 MG would be given by me in 2 hours to avoid hypotension and other adverse effects.
  9. by   barefootlady
    all dosing for vanco is being done by pharmacy at my facility, this included
    run time.
  10. by   caroladybelle
    In many places the standard is a gram over an hour or more. Otherwise, you run the risk of redman's syndrome.
  11. by   Marie_LPN, RN
    Otherwise, you run the risk of redman's syndrome.
    And we've seen cases of this, where the vanc might not have been started on time, so the nurse "rushes" it, to get the majority of it infused before surgery.
  12. by   HappyNurse2005
    Had a pt the other day who got 1500mg of Vanc. Pharmacy gets it ready, and sends it down. They decide the rate.
    My pt got 1500mg in 300cc to infuse at 200cc/hr=90 minute infusion.
  13. by   Undecided7
    I've always seen Vanco to run in over one hour (250 ml)- per pharmacy. I have never seen a bad reaction yet and we use it a lot- even without central lines. Check your hospital policy.
  14. by   EricTAMUCC-BSN
    with that much volume an hour to an hour and a half is either here nor there. I used to give a gm of vanco in 100ccs. Now if they have that pale erythmototic look or have multiple allergies you might reconsider. You're probably more likely to send them into cardiac aresst than redman syndrome.
    Last edit by EricTAMUCC-BSN on Jan 16, '06

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