Order Description

 

Fiona is a 49-year-old female who experienced a spinal cord injury 20 years ago which resulted in paraplegia. She is being admitted to the unit today with sepsis. The sepsis is from an infected pressure ulcer on her buttocks. She has had multiple admissions for the same problem over the last couple of years.
A wound culture was done and the results showed MRSA present in her wound.
Her present orders include:
Vancomycin 1g IV every 12hours via newly inserted PICC (peripherally inserted central catheter)
Vancomycin peak and trough with third dose
Gentamycin 80mg IV every 8 hours
The third dose of Vancomycin is due on your shift.

So what would you do for Fiona?

What assessments will be important for Fiona?
How will you carry out these orders?
How do you administer Vancomycin and Gentamycin?
Why are both of these ordered?