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

  • Bethany Zimpelman

    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

    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