Perhaps I need to post this in the pharmacy forum but thought I might try here first.
Are there any guidelines out there re: the rate at which the antibiotics we give for surgical prophylaxis may be safely given?
During residency, we routinely pushed 1-2g Ancef within 30 minutes before incision time. Now in my practice, the pre-op RNs mix it up for us as "IV piggybacks" and all the nurses think it must be given over 30 minutes.
The only antibiotic I routinely give slowly is Vanco and I believe Cipro or flagyl if it has instructions to do so on the bag. However with Invanz and clinda, I usually give them over 5-10 minutes at the longest. I had a CRNA tell me today that giving Gentamicin too quickly can cause deafness.
Anecdotal "this is what I do" responses are appreciated, but really looking for literature out there, if it exists
Are there any guidelines out there re: the rate at which the antibiotics we give for surgical prophylaxis may be safely given?
During residency, we routinely pushed 1-2g Ancef within 30 minutes before incision time. Now in my practice, the pre-op RNs mix it up for us as "IV piggybacks" and all the nurses think it must be given over 30 minutes.
The only antibiotic I routinely give slowly is Vanco and I believe Cipro or flagyl if it has instructions to do so on the bag. However with Invanz and clinda, I usually give them over 5-10 minutes at the longest. I had a CRNA tell me today that giving Gentamicin too quickly can cause deafness.
Anecdotal "this is what I do" responses are appreciated, but really looking for literature out there, if it exists