Any reasons to keep Levaquin on IV?

[Sparda29]

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Other than the patient being NPO. There's an interesting case with a patient with an unknown lung mass and the doc has them empircally on Levaquin 750 mg daily IVPB. I wanna change this to PO, but the nurse thinks it might be better to call the doc about this rather than using my auto interchange powers. Can't think of any reason to keep this drug on using IV rather than PO.

 

[Praziquantel86]

Other than the patient being NPO. There's an interesting case with a patient with an unknown lung mass and the doc has them empircally on Levaquin 750 mg daily IVPB. I wanna change this to PO, but the nurse thinks it might be better to call the doc about this rather than using my auto interchange powers. Can't think of any reason to keep this drug on using IV rather than PO.

Is the patient tolerating other PO meds? Any reason to suspect poor absorption? Continuous tube feeds? Is the patient acutely ill? Any suspicions as to what the lung mass might be?

 

[Sparda29]

Is the patient tolerating other PO meds? Any reason to suspect poor absorption? Continuous tube feeds? Is the patient acutely ill? Any suspicions as to what the lung mass might be?

Not on any PO meds. Only medications are Levaquin, Zosyn, and Vanco. Levaquin is the only med we can switch over to PO according to our policy. He's tolerating food well. No tube feeds. WBC count is 10, elevated CRP and elevated sed rate.

 

[Praziquantel86]

Not on any PO meds. Only medications are Levaquin, Zosyn, and Vanco. Levaquin is the only med we can switch over to PO according to our policy. He's tolerating food well. No tube feeds. WBC count is 10, elevated CRP and elevated sed rate.

Switch away.

 

[Praziquantel86]

Not on any PO meds. Only medications are Levaquin, Zosyn, and Vanco. Levaquin is the only med we can switch over to PO according to our policy. He's tolerating food well. No tube feeds. WBC count is 10, elevated CRP and elevated sed rate.

Switch away. And also read this: http://www.ncbi.nlm.nih.gov/m/pubmed/2667357/

 

[joetrisman]

Switch away. And also read this: http://www.ncbi.nlm.nih.gov/m/pubmed/2667357/

Boo! My subscription says go spin 😡