Generic: VANCOMYCIN HYDROCHLORIDE
Class: ABT, glycopeptide
Dose: 500mg IV q 6 hours; 1g IV q 12 hr (up to 4g/day) Duration 12-24 hr For IV
meds, compatability with IV drips and/or solutions
ADM: soln diluted to less than 5 mg/ml over @ least 60 min
monitor BP during infusion
Peak Onset end of infusion rapid
ACTION: Treatment of potentially life-threatening infections when less toxic anti-
infectives are contraindicated. Particularly useful in staphylococcal infections,
including: Endocarditis, meningitis, osteomyelitis, pneumonia septicemia, soft-
tissue infections in patients who have allergies to penicillin or its dirivatives
or when sensitivity testing demonstrates resistance to methicillin.
CONTRA: hypersensitivity,corn allergy, hearing loss,renal impairment; intestinal
obstruction or inflammation; pregnancy and lactation.
COMMON SE: hypotension, N,V, rashes, back & neck ,pain, eosinophilia, leukopenia,
phlebitis, hypersensitivity rx incl anaphylaxis, chills,fever, red-man syndrome
(with rapid infusion), superinfection
ADVERSE:
NEPHROTOXICITY leading to uremia OTOTOXICITY
ANAPHYLACTOID rx w/vascular collapse
oral hrush,genital/anal pruritis, vaginitis & vaginal discharge- REPORT
because there are resistant
INTERACTIONS: w/other drugs, OTC,herbal medicines, ototoxic & nephrotoxic drugs
(ASA, aminoglycosides, cyclosporine, cisplatin, loop diuretics);
w/neuromuscular blocking agents may cause resp depression; general anesthetics
(check aensthetic for muscular blocking agents)
TEACH; Report s/s of hypersensitivity, tinnitus, vertigo, hearing loss. If there
is not improvement in a few days. Heart pts need to be taught importance of using
ABT prophylaxis prior to dental or medical procedures. Evaluation: Check after
giving Resolution of S/S of infection. Length of time for complete resolution
depends on organism and site of infection. Endocarditis prophylaxis.
PREMEDS ASSESS: Assess pt for infection V/S; appearance of wound, sputum,urine, &
stool; CBC w/diff, WBC and beginning of and throughout therapy. Assess renal fx,
and hearing before tx, Allergy to medication monitor I/O.
RED man SYNDROME: rapid IV adm -> severe sudden & profound hypotnsion
w//wout maculopapular rash over the face, neck, upper chest &
extremieties, Rash resolves few hrs after d/c. If not-adm flds
corticosteroids, antihistamines