Hi, Our Sepsis Value Improvement Team has reinforced over the past several years a few things about antibiotics after doing some searching to dispel some myths.
1. That there is no guideline/evidence to not give 2 antibiotics at the same time. Many reactions are delayed. Many nurses were taught this in school or have recollection of learning it but there is no real evidence behind. 2. We have posted a compatibility to chart on our sepsis posters and education to either give 2 antibiotics though separate lines at the same time or give together through 1 line if feasible. We have focused on the timeliness of antibiotics. Maureen A. Seckel, APRN, ACNS-BC, CCNS, CCRN, FCCM Lead CNS Medical Pulmonary Critical Care Sepsis Coordinator Christiana Care Health System 4755 Ogletown-Stanton Road 3E29 Newark, DE 19718 Office 302 733-6023 [email protected]<mailto:[email protected]> [CC hand] From: Sepsisgroups [mailto:[email protected]] On Behalf Of Clifford Peebles Sent: Sunday, October 18, 2015 6:41 PM To: Mary McAdams Cc: [email protected] Subject: Re: [Sepsis Groups] Administering IV Antibiotics I understand there are those who are hesitant in administering two new antibiotics to a patient because it would be difficult to determine the offending drug during a drug reaction. As I see it, and as I practice, the concurrent administration of the antibiotics is more important than the risk of a reaction. Especially when using nepho/hepato-insulting vein irritating vesicant antibiotics that must be infused over a longer period of time. Not too sure how others feel about the question. Cliff. [Description: sig1] Cliff Peebles, RN<outbind://23-000000004315E22FCF058346A5246C72F39E671307000CBF5C420BD8AD4AAEDED774BD4A240F000003C2DFC000000CBF5C420BD8AD4AAEDED774BD4A240F000007DE01060000/[email protected]> Northwestern Medical Center<http://www.northwesternmedicalcenter.org/> Intensive Care Unit 133 Fairfield Street<http://www.mapquest.com/maps?address=133+Fairfield+St&city=Saint+Albans&state=VT&zipcode=05478-1726&country=US> Saint Albans, Vermont 05478<http://www.mapquest.com/maps?address=133+Fairfield+St&city=Saint+Albans&state=VT&zipcode=05478-1726&country=US> Phone 802-524-1039 / FAX 802-524-1204 Statement of Confidentiality This message and any attachments are from NMC and intended only for the addressee(s). The information contained may include privileged information. Unauthorized review, forwarding, printing, copying or distribution is strictly prohibited. If you have received this message in error, please delete it and notify the sender. Thank you. From: Sepsisgroups [mailto:[email protected]] On Behalf Of Mary McAdams Sent: Friday, October 16, 2015 10:33 AM To: [email protected]<mailto:[email protected]> Subject: [Sepsis Groups] Administering IV Antibiotics Can you please tell me thoughts on administering two IV antibiotics simultaneously to patients with severe sepsis or septic shock? Mary K. McAdams, BSN, RN, CEN, CPEN, TNS Manager of Education Honor Society of Nursing, Sigma Theta Tau International 550 W. North Street, Indianapolis, IN 46202, USA 888.634.7575 (U.S./Canada toll free) Phone: +1.317.634.8171 Fax: +1.317.634.8188 E-mail: [email protected]<mailto:[email protected]> Web: www.nursingsociety.org<http://www.nursingsociety.org/> IMPROVING WORLD HEALTH THROUGH KNOWLEDGE(tm) CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information or information otherwise protected by law. Any unauthorized review, use, disclosure or distribution of this e-mail message and its content is prohibited. If you receive this message in error or are not the named recipient, please contact the sender by reply e-mail, delete this e-mail from your computer and destroy any copies of the original message.
_______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
