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Bapelol Bapelol
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2 weeks ago
The nurse checks the patient’s laboratory work prior to administering a dose of vancomycin (Vancocin) and finds that the trough vancomycin level is 24 mcg/mL. What will the nurse do next?


▸ Administer the vancomycin as ordered.

▸ Hold the drug, and administer 4 hours later.

▸ Hold the drug, and notify the prescriber.

▸ Repeat the test to verify results.
Textbook 

Pharmacology and the Nursing Process


Edition: 9th
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mlwpcdmlwpcd
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Hold the drug, and notify the prescriber.

Optimal blood levels of vancomycin are a trough level of 10 to 20 mcg/mL. Measurement of peak levels is no longer routinely recommended, and only trough levels are commonly monitored. Blood samples for measurement of trough levels are drawn immediately before administration of the next dose. Because of the increase in resistant organisms, many clinicians use a trough level of 15 to 20 mcg/mL as their goal. These trough levels mean that even just before the next dose is due, when drug levels should be low, the drug levels are actually too high.
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Bapelol Author
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2 weeks ago
You make an excellent tutor!
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Correct Slight Smile TY
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Thanks
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