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Reply To: Limiting fluid volume when giving VCR minibags to infants
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
——————————————- Bethany Zimpelman, CPON,MSN Staff RN Chugiak, AK United States ——————————————-
——————————————- 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?
——————————————- Kathleen Morris, BSN,RN Nurse Leader University of Rochester Rochester, NY United States ——————————————-