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Peritoneal Dialysis

Vancomycin IP

Hi there. Is anyone doing vanco levels for Vancomycin IP? My docs wanted to see what other sites were doing.

thanks
Lyn Johnson
Renal Pharmacist
Prince George Regional Hospital

Antibiotics stability in Dianeal solutions

Hi!

Do you have any data to support the stability of Cefazolin/Ceftazidime/Gentamicin (at room temperature or in the fridge) for more than 24 hours once it is mixed in Dianeal solutions?

Thanks

Danièle

Vancomycin stability in Extraneal solution

Hi everyone,

One of my PD patient is currently on Vancomycin 2g IP q 5 days. The CCAC nurse is mixing the antibiotic in the dialysis solution for the patient at home.
Do you know what is the maximum stability of Vancomycin in Extraneal solution whether it is at room temperature or refrigerated?
So far I have found conflicting data:
48 hours at 25C and up to 7 days RT or fridge.
Do you have any experience?

Thanks
Daniele

aminoglycosides

To my knowledge, there haven't been any updated peritonitis references since 2005. Can anyone clarify when tobra is preferred over gent or vice versa? I had this particular question from a nephrologist and couldn't come up with an answer off the top of my head. Thanks in advance.

magnesium in dialysis solutions

Does anyone have experience with adding magnesium sulphate to dialysis solutions(eg. Dianeal)?
Suzanne

Statistics on Pharmacists in Home Dialysis

At our hospital we are expecting a major increase of outpatients at the Home Dialysis Unit. Therefore we will need to increase the Nursing,Dietician, Social Worker and Clinical Pharmacist staffing accordingly. To do so we would need to get some information about: how many pharmacists work in renal centers with home dialysis (hemo and peritoneal) in Ontario and what is the ratio to patient. Can anyone help with that type of information or where can I get more useful data. Thank you so much!

insulin adjustment in peritoneal dialysis

Hello,

I am a pharmacist and a CDE. In our diabetes education centre we are seeing an increasing number of patients that are on insulin and receiving peritoneal dialysis. At the diabetes centre we have a medical directive to adjust insulin doses for patients of our endocrinologists. I was wondering if anyone had any tips/guidelines/protocols that you could be willing to share with us.

Thanks!

David Leeson, B.Sc., B.Sc.Pharm., CDE
Lawson Diabetes Centre
St. Joseph's Health Care London
London, ON

insulin adjustment in peritoneal dialysis

Hello,

I am a pharmacist and a CDE. In our diabetes education centre we are seeing an increasing number of patients that are on insulin and receiving peritoneal dialysis. At the diabetes centre we have a medical directive to adjust insulin doses for patients of our endocrinologists. I was wondering if anyone had any tips/guidelines/protocols that you could be willing to share with us.

Thanks!

David Leeson, B.Sc., B.Sc.Pharm., CDE
Lawson Diabetes Centre
St. Joseph's Health Care London
London, ON

Ampicillin IP

Does anyone have any experience with IP ampicillin? We are treating a patient with an enterococcus peritonitis sensitive to ampicillin and gentamicin. According to the ISPD guidelines, the ampicillin dose is 125 mg/L. However, I can only find stability data for 50 mg/L in Dianeal - 2 days (NPA Peritoneal Dialysis handbook). What do other centres do? My patient will be adding the antibiotics to their Dianeal at home for overnight dialysis.

Thanks!
Maryanne McDonald
Nephrology Clinic Pharmacist
Alberta Children's Hospital

polyethylene glycol in PD patients

Any experience using this product for bowel maintenance in our PD population? I vaguely remember going to a talk that promoted using small volumes (ie 100-250mL daily) instead of the regular stool softener/stimulant/osmotic laxative combinations. Thanks in advance.

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