HOME IV THERAPY Tobramycin
Tobramycin Check the order on the drug chart This can change when the results from your blood test come through. Your doctor will change the order, if required. A copy of the drug chart will be forwarded to you. Your nurse will phone to confirm the order. Clean your hands. Refer to poster Hand hygiene can be performed in two ways:- By washing hands and by applying alcohol hand gel. This is essential prior to giving of your drugs. This is the best way to prevent infection. Assemble your equipment. Clean work surface using detergent and water. Assemble everything you are going to need on the clean surface. Saline syringes, 10ml pre-filled x 2 - remove from package Baxter pump - remove from package Drug chart and label Drug vials Syringe 5-10ml Drawing up needle Alcohol swab and hand gel Check the order and your name on the drug chart. the volume of drug to be drawn up with the volume sheet.
Tobramycin Clean your hands Prepare the saline flush With the syringe facing up, press on plunger firmly to release the seal. Loosen protective cap but do not remove. Press on plunger gently to expel air from the syringe. Tighten cap on syringe. Open alcohol swab and leave on open packet. Your flush is ready Prepare the antibiotic Clean your hands Remove cap from antibiotic vials. Clean rubber top with alcohol swab. Allow to dry for 30 seconds. Attach drawing up needle to syringe. Insert needle into vial and withdraw required volume. Remove from vial. Repeat till the correct volume is drawn up. Expel air from syringe. Replace protective cap over needle. The drug is ready to be added to your pump. Remove protective cap on the pump. Set aside on clean surface. Detach needle from syringe. Screw the syringe containing the drug into the access port on the pump. Inject the drug into the pump and remove the syringe. Discard syringe. Replace the protective cap on the pump. Add drug label to pump. The pump is ready to be connected. Procedure Hold the IV access device between thumb and index finger. Thoroughly clean the access device with alcohol swab. Allow to dry for 30 seconds.
Tobraymcin Procedure Saline flush Insert syringe into the IV access device. Saline flush. Firmly depress the plunger on the syringe using a quick push, pause technique. Remove the syringe and drop into waste bag. Saline flush completed Stop if there is any inflammation, swelling, pain or you feel resistance. Contact your nurse. Antibiotic pump connection Remove the blue winged cap on the end of the tubing. Saline flush Clean hands. Wait for droplet formation. Connect the pump tubing to the IV access device and twist to secure. Check that the tubing is not clamped or kinked. Your pump will run over 30 minutes. Clean your hands. Disconnect pump, clamp tubing and discard. Repeat Saline flush as above. Clamp your IV access. End of drug administration Refer to the Baxter and Patient information booklets for additional support. Notes:
Volume for Tobramycin 80mg in 2ml vials Dose Volume Dose Volume 200mg 5ml 500mg 12.5ml 220mg 5.5ml 520mg 13ml 240mg 6ml 540mg 13.5ml 260mg 6.5ml 560mg 14ml 280mg 7ml 580mg 14.5ml 300mg 7.5ml 600mg 15ml 320mg 8ml 620mg 15.5ml 340mg 8.5ml 640mg 16ml 360mg 9ml 660mg 16.5ml 380mg 9.5ml 680mg 17ml 400mg 10ml 700mg 17.5ml 420mg 10.5ml 720mg 18ml 440mg 11ml 740mg 18.5ml 460mg 11.5ml 760mg 19ml 480mg 12ml 780mg 19.5ml The following needs to be written on the Laboratory Blood Form 1. Date and time of infusion (start) 2. Length of infusion (e.g. 30 minutes) 3. Time and date of 1 st blood sample 4. Time and date of 2 nd blood sample
(Attach Label) NAME: NHI: Tobramycin Checklist GENDER: DOB: AGE: WARD: Your nurse will sign when you have completed each step. This may take several days to complete until competency attained. Steps Procedure Date Sign Date Sign 1 Wash hands and prepare equipment. 2 Use of no touch technique. 3 Use alcohol hand gel between steps. 4 Draw up drug and insert into pump. 5 Perform saline flushes. 6 Connect and disconnect pump. 7 Care of pump and IV access. Notes: Title Print Name Signature Initials Copy sent to the District Nurse to ensure education for self-administration continues.