Vancomycin dosing in dialysis patient
Nephrology preferred dosing strategy: Adult hemodialysis patients …
As vancomycin is removed by high-flux haemodialysis (HD), and is a narrow therapeutic index drug, dosing can present a problem. At our unit, regular HD patients requiring vancomycin are dosed on dialysis days only, with pre-dialysis vancomycin levels taken on a weekly basis.
[DOCX File]Development and Implementation of New Guidance for ...
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Peritoneal dialysis (PD) removes no vancomycin. Therefore, after an initial 1-g intravenous dose, vancomycin should be dosed for a CrCl less than 10 mL/min and no post-PD dose is necessary [1], [32]. For patients with peritonitis on chronic ambulatory peritoneal dialysis (CAPD), vancomycin may be added to peritoneal dialysis fluid.
[DOC File]Vancomycin Revisited: A Reappraisal of Clinical Use
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Standard vancomycin dosing regimens are recommended, especially in obese patients Donadello K et al. Crit. Care 18, 632 (2014). Vancomycin 35 mg/kg loading dose over 4 hours followed by a daily infusion adapted to creatinine clearance, CrCl
Deaconess - Hospitals in Evansville, IN - Deaconess Hospital
Supplementary Data. Supplementary Text S1: Patient data that was collected. Patient demographics (sex, age, total body weight, height), vancomycin therapy data (dosing history, serum vancomycin and creatinine concentrations), medical interventions (renal replacement therapy and extracorporeal membrane oxygenation status and duration, mechanical ventilation …
[DOC File]The Royal Wolverhampton Hospitals NHS Trust
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If the patient’s BMI is > 30, dosing weight (sometimes called adjusted body weight) should be used to calculate a dose in GlobalRPh per Deaconess protocol. Maximum dose of Vancomycin to dispense is 2500mg, unless justified by patient-specific needs per Deaconess protocol.
jdc.jefferson.edu
These antibiotics are: Vancomycin, Piperacillin-Tazobactam, Levofloxacin, Cefepime, Ertapanem and Meropenem. With the help of our IT department, 2321 antibiotic orders were collected and reviewed to assess for the rates of wrong dosing based on the GFR at the time of dosing. The GFR was calculated manually for each patient using the MDRD formula.
[DOC File]DRAFT - University of Texas System
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The initial empirical treatment as an out-patient. Use both vancomycin and ciprofloxacin. Intra-peritoneal Vancomycin. If weight >50 kg: 2g Vancomycin. If weight
[DOCX File]Supplementary Data - Clinical Microbiology and Infection
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Evaluation of the patient’s abilities, interests, preferences, and goals, including the desired level of participation in the dialysis care process; the preferred modality (hemodialysis or peritoneal dialysis) and setting (for example, home dialysis), and the patient…
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