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Discussion in 'Pharmacy' started by WVUPharm2007, Jan 1, 2009.
Them Vanc guidelines are out....reading it now.
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 0.41 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.
Yo, I posted them 6 days ago in a random thread, where were you?
Here's the link to Pri's post from a few days ago:
I don't know if the links I gave a few days ago allow free full access, so I will also give the IDSA link (which lagged a couple days behind AJHP):
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.
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..."
I was taught that q24h dosing---> trough before 3rd dose
q12h dosing--->trough before 4th dose
q8h dosing--->trough before 5th dose
Tell us why you were taught that and why it does or does not make sense based on what we know about vancomycin pharmacokinetics?
Yay. Opposite world!