MICU/SICU - Vancomycin -peek and trough

[BGmedsestra]

OK, can anybody explain to me when to draw labs(at what exact times) for vanco peek and trough? Why is this antibiotic so complicated to deal with...From what I understand, 30 minutes before you are ready to administer it, you draw trough. Then 15 min after, you draw peek? Thank you...........:redbeathe

[MistyBlue]

Like I said we draw our vanc trough 1 hour after complete but the generic rule still is handy

above should read peak not trough. Sorry!

[iluvivt, BSN, RN]

just want to add that this drug can cause nephrotoxicity as well as ototoxicity and that is why drug levels are monitored so carefully. WE JUST DO THE TROUGH LEVELS NOW