Antimicrobials
Vancomycin IV

Vancomycin IV

None
N/A

Dosing

General Information

Collect trough 0-1h before 3rd or 4th dose.

Target trough 15-20 mg/L for most serious infections, 10-15 mg/L for skin/soft tissue infections or UTI.

If trough low, increase dose (do not exceed 2g/dose) OR decrease dosing interval

If trough >20, increase dosing interval or decrease dose

Monitor creatinine at least once weekly

Red man syndrome (histamine release- slow down infusion), nephrotoxicity, cytopenias, rash including Stevens-Johnson Syndrome

Aminoglycosides may potentiate nephrotoxicity

May enhance neuromuscular blockade of NM blocking agents

Careful with concomitant nephrotoxins

Antimicrobial class: Glycopeptide

Pregnancy category: C