guidelines will help settle debates about how to dose and monitor vancomycin
February 2009
New guidelines will help settle debates about how to dose and monitor vancomycin. This is important now that vancomycin is being used more for methicillin-resistant Staph (MRSA) and other infections.
Dose 15 to 20 mg/kg every 8 to 12 hrs for patients with good kidneys. For severe infections, give a 25 to 30 mg/kg loading dose.
Base the vanco dose on actual body weight...and for obese patients adjust the dose as needed based on serum levels.
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