Pharmacist to New Grad Nurses
Tip of the DayFrom Shelly Watson Pharm.D
I'm a Clinical Pharmacist mainly working in the ICU setting for the last 12 years. I come across a lot of repeat questions and definitely from new grad nurses. I love to teach so what better way than set up a blog where students and new grads can learn from.
See if you know this one:
- Question: Can you run Zosyn and Vancomycin together at the same time?
- Answer: No
A lot of times, patients are on both Zosyn and Vancomycin empirically to treat PNA or Sepsis. Since Zosyn and Vancomycin may be given every 8 to 12hrs depending on their kidney function, you will run into the dilemma of only having one line. You may also be in a hospital where they incorporated long infusion Zosyn (over 4 hrs). Therefore, it's important to know if you can give these two drugs together. The answer is no.
How would you approach this problem?
- Start a new line
- If another line is impossible, have the pharmacist adjust the administration time of both medications. I wouldn't adjust vancomycin administration time without notifying a pharmacist since time of administration is crucial to proper trough levels.
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-Shelly Watson Pharm.D