Skip to content
View in the app

A better way to browse. Learn more.
allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

Timing of antibiotics

I was always taught to give ampicillin first then gentamicin 2 hours late to avoid incompatiability. Is this still the way it is done? Thanks for your help.

  • Quote

    • Featured Replies

    We give Amp first because it is a faster infusion time then Gent right after. We flush in between so the meds are separated.

  • Quote
    We give Amp first because it is a faster infusion time then Gent right after. We flush in between so the meds are separated.

    Ditto

    Our unit also stocks Amp in the Pyxis while Gent has to come up from pharmacy, so that's another reason the Amp gets administered first.

  • Quote
    • Expert

    Ampicillin is safe to give slow push, then flushed and gent is placed on a syringe pump. They are incompatible if mixed in the same syringe or given at a Y-site together. Giving them back to back is not a big deal. IMHO it's better to get both gram + and gram - coverage onboard ASAP when a kid comes in sick.

  • Quote
    Ampicillin is safe to give slow push, then flushed and gent is placed on a syringe pump. They are incompatible if mixed in the same syringe or given at a Y-site together. Giving them back to back is not a big deal.

    I had intended to say the very same thing as you posted, but got busy and forgot.

  • Quote

    Our first doses of amp and gent are profiled at the same time, soon after admission. And we usually choose to give the amp first due to the quicker infusion time, but it's really up to the individual nurse. There is no policy governing it.

  • Quote

    We have a goal to get antibiotics infusing within 1 hour of ordering so waiting the 2 hours would defeat that purpose - we just give Amp and then gent right after - we also stop HA while giving Amp.

  • Quote
    We give Amp first because it is a faster infusion time then Gent right after. We flush in between so the meds are separated.

    This is what we do. If you flush, there are no issues with incompatibility.

  • Quote

    • Join the conversation

    You can post now and register later. If you have an account, sign in now to post with your account.

    Guest
    Add a Comment
    Go to topic listing

    Currently Reading 0

    • No registered users viewing this page.

    Account

    Navigation

    Search

    Search

    Configure browser push notifications
    Chrome (Android)
    1. Tap the lock icon next to the address bar.
    2. Tap Permissions → Notifications.
    3. Adjust your preference.
    Chrome (Desktop)
    1. Click the padlock icon in the address bar.
    2. Select Site settings.
    3. Find Notifications and adjust your preference.