Generally based on ideal body weight (IBW)
EXCEPT for hemodialysis sliding scale dose use patient’s dry weight (this can be found on hemo run sheets)
IBW females = 45.5 + (2.3 x # inches over 5 ft*)
IBW males = 50 + (2.3 x # inches over 5 ft*) males
*If patient is less than 5 ft: use negative inches
e.g. female patient is 4’8’’ (4 inches below 5 feet): IBW = 45.5 + (2.3x (-)4) = 36.3 kg
Dose based on TOTAL body weight
Use an adjusted body weight (ABW)
*If patient is less than 5 ft: use negative inches
Review initiation order set 10-111-5336
NOTE: Loading dose needed only in life-threatening infections or in dialysis patients to achieve steady state levels more rapidly (will need to order as one time initial dose then provide sliding scale with maintenance dosing)
2. Give (drug) doses post hemodialysis
(Drug) Level | (Drug) Dose |
---|---|
1.5 | Hold (drug) |
1 - 1.5 | 1.7 mg/kg dose less 20 mg |
Less than 1 | 1.7 mg/kg dose (1 mg/kg if synergy) |