What do you do with vancomycin infiltration?

Vancomycin extravasation was successfully managed by utilizing cold compress for the first 24 hours post-extravasation with common gauze open dressings and silver sulfadiazine 1% until the wound was healed.

What is difference between infiltration and extravasation?

The difference between an infiltration and extravasation is the type of medicine or fluid that is leaked. Infiltration – if the fluid is a non-vesicant (does not irritate tissue), it is called an infiltration. Extravasation – if the fluid is a vesicant (a fluid that irritates tissue), it is called an extravasation.

What is the antidote for vancomycin infiltration?

Antidotes and supportive care agents used in the management of these cases of extravasation include hyaluronidase, phentolamine, terbutaline, topical anesthetics (such as lidocaine and prilocaine cream), topical antimicrobials (such as silver sulfadiazine and chlorhexidine), topical debridement agents (collagenase …

Is vancomycin an irritant or vesicant?

Vancomycin is acidic (pH 2.5–4.0) and hyperosmolar (328 mOsm/L), which may make it a vesicant when administered through a peripheral line.

How do you manage extravasation?

At the first sign of extravasation, the following steps are recommended: (1) stop administration of IV fluids immediately, (2) disconnect the IV tube from the cannula, (3) aspirate any residual drug from the cannula, (4) administer a drug-specific antidote, and (5) notify the physician (Fig.

How is extravasation treated?

Treatment of a vesicant extravasation includes immediate cessation of infusion, aspiration of as much extravasated drug as possible through the still-intact catheter, and attempts for the aspiration of the extravasated agent in the surrounding tissue. This aspiration may help to limit the extent of tissue damage.

What is the recommended treatment protocol for extravasation?

Nursing interventions At the first sign of extravasation, the following steps are recommended: (1) stop administration of IV fluids immediately, (2) disconnect the IV tube from the cannula, (3) aspirate any residual drug from the cannula, (4) administer a drug-specific antidote, and (5) notify the physician (Fig.

How do you treat an infiltrated IV site?

Your clinician will likely do the following:

  1. Stop the infusion.
  2. Remove the IV.
  3. Mark the outline affected area with a marker.
  4. Photograph the affected area.
  5. Apply a hot or cold compress based on the type of IV fluid infiltrated.
  6. Elevate the extremity.
  7. Inject medication into the subcutaneous tissue.

Can you give vancomycin through a peripheral IV?

Drugs with a pH below 5, including vancomycin, shouldn’t be infused through a peripheral vein, according to current Infusion Nurses Society standards of practice.

Do you put ice or heat on infiltrated IV?

For hypertonic or hyperosmolar fluids, apply cold to restrict contact with additional tissue, thus limiting the tissue affected by osmotic fluid shift. For isotonic or hypotonic fluid, choose heat or cold based on patient comfort.