Infusing vancomycin through a central venous access would prevent:
a. nephrotoxicity associated with peripheral infusion of vancomycin.
b. pain and phlebitis associated with peripheral infusion.
c. the need for adult doses to be diluted in a minimum of 200 mL of dextrose or normal saline.
d. having to infuse vancomycin for more than 60 minutes.
ANS: B
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A Incorrect: The vascular access does not affect the nephrotoxicity associated with vancomycin.
B Correct: Central venous access is preferred because of the high incidence of pain and phlebitis in peripheral veins from vancomycin infusions.
C Incorrect: Regardless of the vascular access, adult doses need to be diluted in a minimum of 200 mL of dextrose or normal saline
D Incorrect: Regardless of the vascular access, vancomycin needs to be infusing for a minimum of 60 minutes.
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