Dr Z writes an order for a clinic patient with febrile neutr

Dr. Z writes an order for a clinic patient with febrile neutropenia for vancomycin 800 mg IV every 8 hours (send to peds onc clinic on 1^st floor stat). SrCr=within normal limits, Wt = 42 kg Please make any recommendations, if any, and write orders accordingly.

Solution

Febirl Neutropenic fever is a single oral temperature of 38.3º C or a temperature of greater than 38.0º C ( 100.4º F) which sustained for more than 1 hour in a patient with neutropenia.

The vancomycin is order depends upon weight also so if total amount of Vancomycin is to be given 800 mg for a 42 kg person

it should be indicated as below

Indications for the empiric addition of vancomycin (mg/kg IV q8h) to drug regimens listed above: that is in this case 20 mg/kg/8 h

Continue therapy for at least 7 days until cultures are negative and clinical recovery is noted.