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1. Question
You are rounding on the patient today in the morning at 9 am. It’s day 3 of admission (day 2 vancomycin), and the laboratory calls you to give a critical lab result. It’s the patient’s vancomycin trough, which was drawn today in the morning at 7:30 am (30 mins before the morning dose. Vanco doses are given at 0800 and 2000). The trough level is 25 mg/L. The nurse gave the doses on time since vancomycin was prescribed, and the patient just received her 4th dose today in the morning, right after the lab got the blood sample. What would be the most appropriate intervention for this patient’s supratherapeutic vancomycin?
(Patient SCr today 1.6, weight is 65 kg)
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