161-180 mcmol/L

This nomogram is for the calculation of initial MAINTENANCE dose for patients with stable renal function. Dose should be adjusted as required based on vancomycin trough levels.

Age 20-39

Q24H based on Actual body weight:

40-50 kg = 750 mg
51-70 kg = 1000 mg
71-90 kg = 1250 mg
91 kg or more: 1500 mg

Age 40-79

Anticipated interval q24h or longer based on Actual body weight: Pharmacist consult recommended

40-50 kg = 750 mg
51-70 kg = 1000 mg
71-90 kg = 1250 mg
91 kg or more: 1500 mg

These patients have unstable and/or reduced renal function and the nomogram may not be as predictive

Note

In elderly patients (age > 60) with low muscle mass, use clinical judgement as SCr may not reflect renal function accurately