Dismiss Notice
Hey Texans—join us for a DFW meetup! Click here to learn more.

Yo, Priapism...

Discussion in 'Pharmacy' started by WVUPharm2007, Jan 1, 2009.

  1. WVUPharm2007

    WVUPharm2007 imagine sisyphus happy
    Pharmacist 15+ Year Member

    Joined:
    Jun 23, 2003
    Messages:
    13,321
    Likes Received:
    2,873
    Status:
    Pharmacist
    Them Vanc guidelines are out....reading it now.
     
  2. Note: SDN Members do not see this ad.

  3. WVUPharm2007

    WVUPharm2007 imagine sisyphus happy
    Pharmacist 15+ Year Member

    Joined:
    Jun 23, 2003
    Messages:
    13,321
    Likes Received:
    2,873
    Status:
    Pharmacist
    See...now...dammit...all I wanted was some sort of position statement about what population pharmacokinetic numbers one should use and they cop out on it. "The volume of distribution is 0.4–1 L/kg." All I wanted was someone with a bunch of fancy letters after their name to tell us all that using 0.9 as the population Vd like we are told to at my hospital is crazy....but noooo....now they can still get away with saying its correct. I still use 0.7, anyway.

    Grrrr.
     
  4. Priapism321

    Priapism321 Bursting with enthusiasm
    5+ Year Member

    Joined:
    Apr 17, 2007
    Messages:
    1,424
    Likes Received:
    3
    Status:
    Pharmacist
    Yo, I posted them 6 days ago in a random thread, where were you?
     
  5. Omegadramon

    2+ Year Member

    Joined:
    May 16, 2007
    Messages:
    298
    Likes Received:
    0
    Status:
    Pharmacy Student
  6. Glycerin

    Glycerin Commercially Unavailable
    Pharmacist Moderator Emeritus 10+ Year Member

    Joined:
    Mar 18, 2004
    Messages:
    3,343
    Likes Received:
    5
    Status:
    Pharmacist
  7. Priapism321

    Priapism321 Bursting with enthusiasm
    5+ Year Member

    Joined:
    Apr 17, 2007
    Messages:
    1,424
    Likes Received:
    3
    Status:
    Pharmacist
  8. pharmboy30

    pharmboy30 order entry monkey
    2+ Year Member

    Joined:
    Aug 13, 2006
    Messages:
    239
    Likes Received:
    0
    Status:
    Pharmacist
  9. ItsOverZyvox

    ItsOverZyvox Retired
    Removed 2+ Year Member

    Joined:
    Jul 5, 2008
    Messages:
    2,281
    Likes Received:
    2
    I told you to use 0.7L/kg. You don't need new guideline to tell you that. Just take what I say as gospel.
     
  10. WVUPharm2007

    WVUPharm2007 imagine sisyphus happy
    Pharmacist 15+ Year Member

    Joined:
    Jun 23, 2003
    Messages:
    13,321
    Likes Received:
    2,873
    Status:
    Pharmacist
    Yes, m'lord.

    Another small note...who else usually takes trough after the third dose? They were recommending waiting until after the 4th dose...and that 25-30mg/kg recommendation made every pharmacist I work with do a double take...lol..."Wait...what does that say? I dunno about that..."
     
  11. pharmacychick01

    2+ Year Member

    Joined:
    Dec 29, 2008
    Messages:
    24
    Likes Received:
    0
    Status:
    Pharmacist

    I was taught that q24h dosing---> trough before 3rd dose
    q12h dosing--->trough before 4th dose
    q8h dosing--->trough before 5th dose
     
  12. Priapism321

    Priapism321 Bursting with enthusiasm
    5+ Year Member

    Joined:
    Apr 17, 2007
    Messages:
    1,424
    Likes Received:
    3
    Status:
    Pharmacist

    Tell us why you were taught that and why it does or does not make sense based on what we know about vancomycin pharmacokinetics?
     
  13. WVUPharm2007

    WVUPharm2007 imagine sisyphus happy
    Pharmacist 15+ Year Member

    Joined:
    Jun 23, 2003
    Messages:
    13,321
    Likes Received:
    2,873
    Status:
    Pharmacist
    Yay. Opposite world!
     

Share This Page