Guidelines
Vancomycin IV (Adult)

Vancomycin IV (Adult)

Dosing

Consider a loading dose in patients with sepsis or severe infections

Weight (kg) Dose (~25 mg/kg x1) Order in EPIC
>75 2,000 mg Link 2 x 1,000 mg bags
50-75 1,500 mg Link 1 x 1,000 mg & 1 x 500 mg bags
<50 1,000 mg 1 x 1,000 mg bag

Utilize EMR-based Vancomycin Kinetics calculator:

  • Select Initial Calculations - AUC Dosing
  • Fill required fields & use TBW or AdjBW
  • Select AUC goal (Recommend 400 mg*hr/L)
  • Calculator provides suggested Total Daily Dose (TDD)
  • Round to appropriate dose (nearest 500 mg) & frequency to achieve suggested TDD

Weight-Based Dosing