Reply To: Vincristine minibag

  • Patricia Conlon

    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?

    Patricia Conlon, MS,RN,CNP,CNS
    Mayo Clinic
    Rochester, MN
    United States

    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 .

    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

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