2017

Ceftazidime for Peritonitis in

Peritoneal Dialysis

www.nshealth.ca

Patient & Family Guide

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Ceftazidime for Peritonitis in Peritoneal Dialysis

What is ceftazidime?• Ceftazidimeisanantibiotic(drugusedtotreatinfectionscausedbybacteria).Itisusedtotreatperitonealinfections.

Why am I getting ceftazidime?• Ifyouhaveperitonitis(aninfectioninyourperitoneum),yourrenalteammaytellyoutotakeanantibiotic,suchasceftazidime.

• Symptomsofperitonitisinclude:cloudybag,abdominal(stomach)painandfever.

• Youwillonlystarttakingceftazidimeiftherenalteamtellsyoutodoso.

• Youwillbetrainedbytherenalteamonhowtogiveyourselfceftazidimethroughyourperitonealsolution.

What are some of the possible side effects?• Likemostmedicines,ceftazidimemaycausesideeffects.Theseincludeitching,rash,fever,diarrhea,nausea(feelingsicktoyourstomach),vomiting(throwingup)andabdominal(stomach)pain.Rarely,ceftazidimemaycauseanallergicreaction.

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• Contactyourhealthcareproviderifdiarrheacontinuesorchangesinfrequencyorconsistency.

Go to the nearest Emergency Department if you have any of the following:

› Wheezingortroublebreathing › Chesttightness › Hives › Itchyrash › Swellingofthelipsorbody › Feelingfaint › Severe(verybad)diarrhea › Flu-likesymptoms

How do I give myself ceftazidime?• Youwillgiveyourselfceftazidimeintraperitoneallyonceadayduringa6-hour‘dwell’.

• Ceftazidimecomesasapowderthatneedstobemixedwithsterilewaterbeforeitisaddedtoyourdialysissolution.

• Instructionsonhowtomix,drawupandadministerceftazidimearegivenonthenextpage.

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Mixing and adding ceftazidime to a bag of solutionYouwillneed:• Facemask• Ceftazidime(1gvial)• Sterilewater• Syringeswithneedles(2ormore)• Solu-I.V.™swabs(2%chlorhexidinegluconatewith70%alcohol)

Instructions:1. Yourdoseofceftazidimeis mg

givenintraperitoneallyonceadayduringa6-hourdwell.

2. Checkthevial(s)ofceftazidimeforthecorrectname,strengthandexpirydate.

3. Putonthefacemaskandwashyourhands.4. Openandcheckthebagofsolution.5. Removecapsfromsterilewaterand

ceftazidimevial(s).PutaSolu-I.V.™swabontopofeachvialandscrubfor30seconds.Removeswabsandletairdry.

6. PutaSOLU-I.V.™swabonthemedicationportofthebagofsolution.Scrubfor30seconds.Removetheswabandletairdry.

7. Opena10mlsyringewithneedle.Twisttogethertotightenneedle.

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8. Drawup10mlofairintosyringe.9. Injectairintothesterilewater.10.Drawup10mlofsterilewater.11.Injectthesterilewaterintotheceftazidime

vialrightaway.Toavoidfoamingofthemedication,inject the water slowly and down the side of the vial.Removetheneedle.

12.Gentlyswirlthevialtomixuntilthepowderiscompletelydissolved.

13.PutanewSolu-I.V.™swabontheceftazidimevialandscrubfor30seconds.Removeswabandletairdry.

14.Repeatsteps6-12ifasecondceftazidimevialisneeded.

15.Usinganewsyringe,injectairintothevialandimmediatelydrawupthemixedceftazidime.Itshouldlookclear,notcloudy.

16.Vial#1:Drawup mlofceftazidimeandinjectintothemedicationportonthebagofsolutionrightaway.

17.Vial#2(ifneeded):Drawup mlofceftazidime andinjectintothemedicationportonthebagofsolutionrightaway.

18.Mixbysqueezingtheportandturningthebagupsidedownseveraltimes.

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19.Onyourdailyrecordsheet,writedownthedrug(ceftazidime),doseandtime/dategiven.

20.Repeatthesestepsonceadayduringa6-hourdwell,asdirected.

Things to remember: ☑ Antibioticmedicinesshoulddwellfor6hours.

☑ 1ml=1cc(Bottlesarelabelledwith“ml”andsyringesarelabelledwith“cc”.)

☑ Medicineshouldalwayslookclearwhenmixedwithsterilewater.

☑ Onlyusethevialofsterilewateronetime.Discardthesterilewatervialafterusing.

☑ DO NOTreusesyringesorneedles. ☑ Putusedneedlesintoasharpscontainerfordisposal.

☑ Mixtheceftazidimerightbeforeyourexchange,orascloseaspossibletoit.

☑ Donotreheatthebagofsolutionafteraddingtheceftazidime.

☑ TheRenalDialysisHomeUnitphonenumberis1-902-473-2155.

How do I store my ceft azidime?• Storeunopenedceftazidimeatroomtemperatureawayfromlight.

• Aftermixinganddrawingupyourdoseofceftazidime,throwawaythevial.

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Theinformationinthisbrochureisforinformationalandeducationalpurposesonly.Theinformationisnotintendedtobeanddoesnotconstitutehealthcareormedicaladvice.

Ifyouhaveanyquestions,pleaseaskyourhealthcareprovider.

WQ85-1819CreatedDecember2017Theinformationinthispamphletistobeupdatedevery3yearsorasneeded.

Ifyouhaveanyquestions,pleasetalktoyournurse,doctor,pharmacistornursepractitioner.Yournursecanarrangeforamemberofyourhealthcareteamtotalkwithyouaboutyourtreatment.

Theinformationinthisbrochureisforinformationalandeducationalpurposesonly.Theinformationinthisbrochureisforinformationalandeducationalpurposesonly.Theinformationisnotintendedtobeanddoesnotconstitutehealthcareormedicaladvice.Theinformationisnotintendedtobeanddoesnotconstitutehealthcareormedicaladvice.

Ifyouhaveanyquestions,pleaseaskyourhealthcareprovider.Ifyouhaveanyquestions,pleaseaskyourhealthcareprovider.

Theinformationinthispamphletistobeupdatedevery3yearsorasneeded.Theinformationinthispamphletistobeupdatedevery3yearsorasneeded.WQ85-1819CreatedDecember2017WQ85-1819CreatedDecember2017Theinformationinthispamphletistobeupdatedevery3yearsorasneeded.Theinformationinthispamphletistobeupdatedevery3yearsorasneeded.Theinformationinthispamphletistobeupdatedevery3yearsorasneeded.Theinformationinthispamphletistobeupdatedevery3yearsorasneeded.