What precaution should be taken when administering IV vancomycin?
If you can, avoid people with infections. Check with your doctor immediately if you think you are getting an infection or if you get a fever or chills, cough or hoarseness, lower back or side pain, or painful or difficult urination. This medicine may cause severe tenderness and pain at the injection site.
What is an important side effect that you must know when administering vancomycin Vancocin via IV route?
Tell your doctor right away if you or your child starts to have cough, difficulty with swallowing, dizziness, fast heartbeat, trouble with breathing, chest tightness, swelling in your face or hands, fever, chills, itching or hives, or lightheadedness or faintness while you are receiving this medicine.
What is the contraindications of vancomycin?
Vancomycin is contraindicated in patients with known hypersensitivity to this antibiotic. Solutions containing dextrose may be contraindicated in patients with known allergy to corn or corn products.
What do you assess before giving vancomycin?
Considerations. Evaluate BUN, creatinine, and CrCl before starting therapy and at intervals, or as needed to monitor renal status thereafter. Each hospital may have different protocols with antibiotic stewardship, vancomycin level monitoring, and treatment duration.
What are nursing implications for vancomycin?
Monitor signs of hypersensitivity reactions and anaphylaxis, including pulmonary symptoms (tightness in the throat and chest, wheezing, cough dyspnea) or skin reactions (rash, pruritus, urticaria). Notify physician or nursing staff immediately if these reactions occur.
What should you assess before giving vancomycin?
What are nursing considerations for vancomycin?
Some considerations for nurses administering vancomycin include ensuring a patent IV line, planning for administration of the preoperative dose as much as two hours before the initial incision is made, and including information about the dose and timing of preoperative vancomycin administration in the surgical time out …
What is vancomycin?
Vancomycin – StatPearls – NCBI Bookshelf Vancomycin is a medication used in the treatment of serious Gram-positive bacterial infections. It is in the cell wall synthesis inhibitor class of antimicrobial medications.
What are the nursing implications of vancomycin in neonates?
Nursing Implications. Monitor serial tests of vancomycin blood levels (peak and trough) in patients with borderline kidney function, in infants and neonates, and in patients >60 y. Assess hearing. Drug may cause damage to auditory branch (not vestibular branch) of eighth cranial nerve, with consequent deafness, which may be permanent.
What should be included in patient education about vancomycin?
Finally, the nurse should educate the patient on the side effects of vancomycin like redman syndrome and the possibility of ear and renal dysfunction. Without an interprofessional team approach involving clinicians, specialists, nursing, and pharmacists, the empirical use of vancomycin will render the drug useless for most infections.
Does vancomycin require dose adjustment for renal impairment?
Oral vancomycin does not require dosage adjustment for renal impairment due to its low systemic absorption. Moreover, routine serum trough monitoring is not a recommendation for patients who are only receiving oral vancomycin.