Assume pt is being treated emperically for peritonitis associated with CAPD.If a patient is given Vancomycin 15mg/kg IV x1 and Gentamicin 2mg/kg x1 in the ED would it be appropriate to obtain random Vanco and Gent levels before starting Vanco and Gent Intraperitoneally?
Assume pt is being treated emperically for peritonitis associated with CAPD.If a patient is given Vancomycin 15mg/kg IV x1 and Gentamicin 2mg/kg x1 in the ED would it be appropriate to obtain random Vanco and Gent levels before starting Vanco and Gent Intraperitoneally?
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Jodi F, Doctor/MD from IL Masonic Medical Center asked
Assume pt is being treated emperically for peritonitis associated with CAPD.If a patient is given Vancomycin 15mg/kg IV x1 and Gentamicin 2mg/kg x1 in the ED would it be appropriate to obtain random Vanco and Gent levels before starting Vanco and Gent Intraperitoneally?

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⋅ ⋅ August 25, 2010

Vancomycin and gentamicin level is not necessary in routine treatment of peritonitis. If needed, you may check the trough level to make sure it is still well above MIC, and below toxic level.

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