Reply To: Limiting fluid volume when giving VCR minibags to infants

  • Bethany Zimpelman

    Member
    February 27, 2015 at 6:39 pm

    Yes. We just gave 0.1 mg Vincristine to a 6 kg baby. It seemed ridiculous to have a tiny dose in a such a large volume. Pharmacy held strong and made us give it in a mini-bag. The patient was admitted at the time, so we just subtracted it from her IV fluids for the day.  
    Good Luck

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    Bethany Zimpelman, CPON,MSN
    Staff RN
    Chugiak, AK
    United States
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    Original Message:
    Sent: 02-27-2015 05:39 PM
    From: Kathleen Morris
    Subject: Limiting fluid volume when giving VCR minibags to infants

    Our pharmacy converted to vinca alkaloids in mini-bags instead of syringes a while ago and it has been working fine.  However, we currently have a 5kg baby.  Delivering the vincristine through IV tubing requiring a NS flush after, leaves us delivering too much fluid volume.  Has anyone found a good solution to administering vincristine via min-bag without fluid overloading the infant?

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    Kathleen Morris, BSN,RN
    Nurse Leader
    University of Rochester
    Rochester, NY
    United States
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