Vancomycin Trough Monitoring (MADE EASY)

Vancomycin is one of those medications that receives a lot of positive attention. This is because it covers MRSA, option for patients with penicillin allergies and useful for many severe infections. It also receives negative attention because it has the potential to cause renal failure. In this video I’ll show you exactly how to approach the verification orders and monitoring of patients on vancomycin with 7 patient case examples!!
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[@thepharmacistacademy]

Vancomycin New AUC/MIC Dosing and Monitoring Video --> czcams.com/video/QgtzxpBXzFg/video.html

[@vincentdo8523]

That's 23 minutes of Gold because in the hospital, we don't have 23 minutes to explain like this to each student on rotation. We had over 50 students in the past 12 months....Imagine the hours we have to spend. You, sir, are hereby embraced by our hospital as PROFESSOR. This will be my moment of sharing....through your voice and video. Meaning, the students will watch this instead of listening to my boring speech...and I don't have time for each student, 23 minutes for you...and the student after you....and the next...and the next...for the next 15 years? This video will be the speech. You will be the MAN. Like your easy talk, man. Please keep up the good work. THANK YOU AGAIN.

[@mishkatmerghani7612]

Excellent, really appreciate that
Thank you from deep of my heart
I'm sure not only native doctors follow you ,
I'm Arabic from Sudan lives in Sultanat Of Oman

[@thepharmacistacademy]

That’s amazing ! Greetings from NY 🙂

[@gmarie9143]

Thanks SO much. Awesome video!! Super helpful

[@claudiadossantos7993]

Thank you very much. I could really understand the concept.

[@jordonreid]

Thank you for these videos brother real life saver !

[@Nazry0799]

Waw thanks that's a helpful explanation about Vanco.

[@eladsteiner9344]

Great video. Thank you!

[@Ashley-ts6wy]

Explained so well! Thank you!!

[@thepharmacistacademy]

You're welcome always :)

[@yeeroy]

thank you for your awesome videos with pt cases and your experience to color them! starting new hospital job soon after doing 6 years in retail and I'm reviewing everything I can!

[@thepharmacistacademy]

Thank you and good luck on the new journey.

[@ricecakke]

Please do a video on TPN and PPN too. Thank you so much !!

[@wheretheresawheeltheresawa2379]

good lecture!

[@sleepmaiden]

If all Americans spoke as clearly as you. Big ups.

[@relindawilliam1788]

Excellent .. Thank you soo much

[@chang_ha1014]

Hi. I live in South Korea. Thank you so much for the video. It helped me soooo much. Good luck to you always 😊

[@thepharmacistacademy]

Glad it was helpful!

[@belladonafatma]

This helps a lot

[@starfoxx5862]

Thank you! I understand the concept much better. Do you have any tips for studying pharmacology? Thank you.

[@manufonseca1464]

excellent !!!

[@Sturnburn772]

Thank you

[@ellachibueze2822]

You are doing God’s work

[@parishahrezaei6252]

great video! Thank you!
For patient #4, since it's a skin infection, the range would be 10-15. Your video shows that if levels are above 20, we would hold it. Would we not hold it above 15?

[@thepharmacistacademy]

Pari Shahrezaei Correct. That should be 15 correct. Thanks for pointing it out

[@DmitriyNam1]

So well explained. Thank you!

[@thepharmacistacademy]

Dmitriy Nam you welcome :-). That made my night ... really glad you guys benefiting from the video

[@George-rq1yp]

I like your videos. Would you be kind enough to make a video on how to verify an order in a hospital setting?

[@thepharmacistacademy]

Absolutely !

[@Kate-dc6gl]

thanks

[@fsfs2778]

4:36 shouldnt the steady state be dependent on the number of half-lives, rather than the number of doses? the number of doses given, depends on the dosing interval, which depends on the estimated half-life of vanco in the pt

[@surajrakshit9461]

What are the side effects?

[@prashanthjayaraj1383]

Thanks for the wonderful video. How to get your slides? Thank you

[@thepharmacistacademy]

What is your email ? I will send it to you.

[@aichaelmoustapha2444]

I am curious you said the trough is prior to 4th dose at all time. I am a bit confused I have always understood trough to be time dependent and not necessarily dose dependent for example if I have a renally impaired and is on q48 dosing regimen we would draw prior to 2nd dose. If patient is on q12 or more we would draw trough prior 4th or q 24 prior to 3rd dose

[@thepharmacistacademy]

Yes correct and I do address the need for dosing by levels for patients with poor renal function. In that case you wouldn’t wait till the 4th dose. Also I’m not familiar with obtaining trough prior to 3rd dose simply because it’s q24hrs. Very interesting. Any reference to support this ? Let me know if you have other questions. Thanks

[@hend6540]

Great video. please from where I can print slides?

[@thepharmacistacademy]

I can email it to you.

[@prashanthjayaraj1383]

@@thepharmacistacademy It's a wonderful explanation. How to get these slides? Not able to find your email address on your channel. Thank you for your wonderful explanation

[@napturalkassie]

great video, you made it easy! Are you Nigerian?

[@thepharmacistacademy]

Ghanaian 🇬🇭

[@joycecooper498]

What is the 9.4 units of measure?

[@thepharmacistacademy]

Micrograms per milliliter (mcg/mL)

[@joycecooper498]

I guess my question should have been what does this mean? I guess I don’t understand troughs

[@thepharmacistacademy]

@@joycecooper498 A trough is the lowest concentration or amount of a medication in the blood right before another dose is given to increase this concentration or amount

[@raymararencibia9925]

I had understood that the fastest infusion rate at which vancomycin should be infused is 1 gram in 1 hour in order to avoid red man syndrome

[@thepharmacistacademy]

That is correct but it’s not a hard recommendation because in clinical practice you may still see higher doses (1.25g-1.75g) infused over 1 hr. Also Red Man Syndrome is more common with the first infusion of vancomycin. The risk reduces significantly after that.

[@ToniDhayfron-hi4rv]

Thank you so much 💓

[@reintenshi6412]

He: Vancomycin is very important medication because
Me: it is effective against c.diff and MRSA.
He: no because it causes renal failure
😂😂😂

[@joycecooper498]

You don't know how tall a person is

[@monaiannucci7831]

Gloria vandetbelt

[@abukhalidrussian9561]

Hhhhhhhhhhhh
Crazy Guy 🤣😂🤣😂🤣

[@monaiannucci7831]

Lmao

[@monaiannucci7831]

Vanco my sin

[@AA-td1yw]

Are you single?