Reply To: Vincristine minibag

  • Patricia Conlon

    Member
    May 6, 2015 at 1:55 pm

    We are changing practice with using mini bags and willjust add a 20mL flush into the buretrol afterwards to clear the line of the medication. The patient will only receive a few mL of this. Before the infusion, the patient will receive 20 mL of the flush solution that pharmacy places in the buretrol.

    Do you administer by gravity or pump?

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    Patricia Conlon, MS,RN,CNP,CNS
    Mayo Clinic
    Rochester, MN
    United States
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    Original Message:
    Sent: 05-06-2015 11:51 AM
    From: Elizabeth Sonnenblick
    Subject: Vincristine minibag

    This message has been cross posted to the following Discussions: Advanced Practice Nurses and Pediatric Chemotherapy Biotherapy Instructors .
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    When administering Vincristine via minibag does anybody use different total volume including flushes for children <10 or 15 kg?

    We are switching to a 25 ml minibag and with the flush pre and post its 75 ml that we will be giving over 10 minutes.  There is concern that this is too much volume for such a short time period.  We can’t increase the time because we don’t have the nursing staff to sit at the bedside for longer on either the inpatient or out patient unit

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    Elizabeth Sonnenblick, CPHON, CPNP, MSN, RN
    St Joseph’s Regional Medical Center
    Paterson, NJ
    United States
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