Can vancomycin be administered through a PICC line?

Can vancomycin be administered through a PICC line?

Therefore, the benefits of PICC placement for vancomycin administration—namely, diminished risk of phlebitis—can clearly be achieved using the midline, with less risk of DVT or CLABSI.

How do you administer vancomycin IV?

Vancomycin injection comes as a powder to be added to fluid and injected intravenously (into a vein). It is usually infused (injected slowly) over a period of at least 60 minutes once every 6 or 12 hours, but may be given every 8 hours in newborn babies.

Can vancomycin be given peripherally?

Because of its low pH, this drug is highly irritating to blood vessels and destroys tissue if it extravasates. Consequently, you shouldn’t administer it via peripheral veins—despite what you read in the package insert.

Does vancomycin require PICC?

Vancomycin via a midline resulted in zero extravasations, zero DVTs and minimal (0.6%) phlebitis. PICCs and CVCs are not required for safe administration if intravenous vancomycin.

Does vancomycin need to go through a central line?

Background: According to the 2011 Infusion Nursing Standards of Practice, the low pH of intravenous vancomycin requires that it be administered through a central line.

What is the sash method for a PICC line?

SASH stands for Saline-Administration-Saline-Heparin. It’s an easy way to remember your catheter flushing steps. Flushing means rinsing your catheter before and after each infusion with saline and if needed, heparin. A working catheter helps you infuse your medications successfully and safely.

How many ml does a PICC line hold?

The PICC volumes are actually much smaller than stated above…they range from 0.5 ml – 1ml per lumen so you can see 10 ml is plenty. So for example, the power PICC dual lumen we use from BARD has a priming volume of . 57 ml and its even less after we trim it prior to insertion.

How do you titrate vancomycin?

1. 20-25. Decrease dose by 250-500 mg.
2. OR. Increase the dosage interval to the next frequency.
3. 25-30. Increase the dosage interval to the next frequency.
4. AND/OR. Decrease the dosage by 500 mg.
5. HOLD VANCOMYCIN UNTIL LEVEL IS < 20 mcg/mL, then restart a modified regimen.

What should 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.

Can vancomycin be administered through a central line?

Do you aspirate before flushing a PICC line?

PICC lines are typically inserted into the antecubital fossa, and then threaded into central circulation. PICC lines are frequently flushed with heparin to maintain patency and therefore it is imperative to aspirate 5 ml of blood from the line prior to use.