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.
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!
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
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?
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
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
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
@@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
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.
@@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
