N.B. Trough level is ~5min before a dose and peak is ~30min after dose infused (usually around 3rd or 4th dose for traditional dosing).
Pharmacy consultation recommended for monitoring levels.
Nephrotoxicity (non-oliguric)
Vestibulocochlear toxicity
Can exacerbate neuromuscular blockade
Increased nephrotoxicity
Increased ototoxicity
Neuromuscular blockade agents - Respiratory paralysis.
Do not mix or run penicillins in same tubing.
Formal audiology assessment if planning to use aminoglycoside for >14d or if symptoms develop.
Inform patient of risk of ototoxicity and to report any symptoms (e.g. feeling of fullness in the ears, ringing in the ears, earache, hearing loss, nausea/vomiting, dizziness, loss of balance).
Antimicrobial class: Aminoglycoside
Pregnancy category: D
Average serum half life: 2-3 hours
Biliary penetration: Moderate
CSF penetration: Poor
Lung penetration: Therapeutic
Urine penetration: Therapeutic