Card 3 / 38: A 30 year-old male is admitted in the intensive care unit because of high fever and dyspnea. Diagnosis was hospital-acquired pneumonia secondary to MRSA. You started him on Vancomycin, 1gm IV q12hrs. You requested for Vancomycin trough level which showed 20ug/mL. Interpreting the result, what would be your plan?
A)
Continue present dose of Vancomycin.
B)
Continue Vancomycin but add Rifampicin.
C)
Will increase dose of Vancomycin to 1gm IV q8hrs
D)
Lower the dose of Vancomycin and request for serum creatinine.
Answer:
A) Continue present dose of Vancomycin.
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