Recommendations
| Dosage | Remarks | |
|---|---|---|
|
1st choice
|
gentamicin 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg 80 mg
|
Concerns bladder instillations. Dissolve 80 mg in 20 ml NaCl 0.9%, see also Bladder instillation with medication: nursing procedure (version 2) Administer in the evening after catheterisation, before going to bed. Leave in the bladder overnight until the next micturition or catheterisation. |
|
2nd choice
|
amikacin 250 mg 1dd 2 weken
gevolgd door amikacin 250 mg 1 48 uur 10 wekengevolgd door amikacin 250 mg 2pw 12 weken |
Concerns bladder instillations. Dissolve 250 mg in 30 ml NaCl 0.9%, see also Bladder instillation with medication: nursing procedure (version 2) Administer in the evening after catheterisation, before going to bed. Leave in the bladder overnight until the next micturition or catheterisation. |
3rd choice: Chondroitin sulphate 80 mg bladder instillation [2,3].
Weeks 1–6: weekly
Thereafter monthly (6x)
Administer 40 ml 0.2% Gepan. chondroitin sulphate via a bladder catheter into the empty bladder. Remove the bladder catheter and leave the fluid in the bladder for as long as possible (at least 30 minutes, maximum 4 hours). See also Bladder instillation with medication: nursing procedure (version 2).