Not On Dialysis: Treatment/induction dose (CrCl)
5 mg/kg IV q12h
2.5 mg/kg IV q12h
2.5 mg/kg IV q24h
1.25 mg/kg IV q24h
1.25 mg/kg IV 3 times weekly
Not On Dialysis: Prophylaxis/maintenance dose (CrCl)
5 mg/kg IV q24h
2.5 mg/kg IV q24h
1.25 mg/kg IV q24h
0.625 mg/kg IV q24h
0.625 mg/kg IV 3 times weekly
Intermittent Hemodialysis
Treatment/induction Dose: 1.25 mg/kg IV qHD - give after dialysis on dialysis days
Prophylaxis/maintenance dose: 0.625 mg/kg IV qHD - give after dialysis on dialysis days
CVVHDF
Treatment/induction Dose: 2.5 mg/kg IV q12h
Prophylaxis/maintenance dose: 2.5 mg/kg IV q24h