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https://www.universityhealthsystem.com/~/media/files/clinical-pathways/vancomycin-dosing-guidelines-adults-2018.pdf?la=en
15 mg/kg every 12 hours (or 30 mg/kg/d) Some patients may require initial every 8 hour dosing (young <30yo, burn pts, IV drug users) -Use . ACTUAL . body weight -Round to nearest 250 mg 30 –49 15 mg/kg every 24 hours <29 15 mg/kg X 1, then dose by levels IHD Load: 15 –20 mg/kg X 1 Maintenance: 500 mg –750 mg after each dialysis
https://www.drugs.com/dosage/vancomycin.html
Complicated with ileus or toxic colitis and/or significant abdominal distention: 10 mg/kg orally every 6 hours PLUS 500 mg (in 100 mL normal saline) rectally (as an enema) every 8 hours until symptoms improve PLUS metronidazole
https://www.ncbi.nlm.nih.gov/books/NBK459263/
The frequency of administration ranges from every 8 to 24 hours and should be adjusted based on renal function, age, and serum trough concentrations. Serum trough concentrations require close monitoring in all patients. Oral vancomycin has low systemic absorption and is only effective for treating intestinal infections.
https://health.ucdavis.edu/antibiotic-stewardship/pdfs/vanc_dosing.pdf
Order random vancomycin level within 24 –36 hours of initiation (with AM labs best) a)Repeat QAM until level stays within 10-15% variation from previous b) After any dose adjustment, repeat level within 24 – 48 hours or at estimated steady state c)Repeat random levels every 3 – 7 days depending on renal function changes or toxicity risk 3.
https://globalrph.com/dilution/vancomycin/
Doses of 15 to 20 mg/kg (based on actual body weight) administered every 8 to 12 hours as an intermittent infusion are recommended for most patients with normal renal function when assuming a MIC BMD of 1 mg/L (A-II). In patients with normal renal function, these doses may not achieve the therapeutic AUC/MIC target when the MIC is 2 mg/L."
http://apecguidelines.org/guideline/group-b-steptococci/
Penicillin-allergic women who do not have a history of anaphylaxis, angioedema, respiratory distress or urticaria following administration of a penicillin or cephalosporin should receive cefazolin, 2 grams IV, then 1 gram every 8 hours until delivery.
https://www.drugs.com/ppa/vancomycin.html
IV: 15 to 20 mg/kg/dose every 8 to 12 hours initially; adjust based on therapeutic monitoring (IDSA [Tunkel 2017]). A loading dose may be considered in seriously ill patients (ASHP/IDSA/PIDS/SIDP [Rybak 2020]).
https://reference.medscape.com/drug/firvanq-vancocin-vancomycin-342573
1.75g/350mL. 2g/400mL. Staphylococcal Enterocolitis. Vancocin and Firvanq. Indicated for enterocolitis caused by Staphylococcus aureus (including methicillin-resistant strains) Firvanq: Indicated for treatment of enterocolitis in adults and pediatric patients <18 years. 0.5-2 g/day PO divided q6-8hr for 7-10 days.
https://allnurses.com/vancomycin-iv-hour-t97145/
Teachchildren123. Specializes in CCU. I doubt that the vanco should be given that fast. 1 mg per hour is usually the rate. When in doubt, check with the pharmacist. Too fast may really damage the kidneys. Specializes in Telemetry, ICU, Resource Pool, Dialysis. Has 11 years experience. 1 gram ofvanco should be given over 90 minutes.
https://www.accessdata.fda.gov/drugsatfda_docs/label/2018/209481s000lbl.pdf
In neonates, an initial dose of 15 mg/kg is suggested, followed by 10 mg/kg every 12 hours for neonates in the 1st week of life and every 8 hours thereafter up to the age of 1 month. Each dose...
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