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Renal Lesson #4 Quiz

Answer the questions and decipher the code to open the lab.

Which of the following regarding vancomycin renal dosing is correct? (SELECT ALL THAT APPLIES)

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Lesson #5: Vancomycin Monitoring

Answer the questions and decipher the code to open the lab.

If you want to order a trough around the patient’s 8am dose, it should be drawn at:

If a patient is on vancomycin every 12 hours, you want to order the trough at steady state during which dose?

If the patient is on vancomycin every 24 hours, you want to order the trough at steady state during which dose?

If a patient is being treated for cellulitis, which of the following trough levels would be at goal for their indication?

Based on the answers to your questions above, decipher the code to escape the lab and finish the course.


HINT: Match the correct numbers to the letters in the answer

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Lesson #5 Questions Pt2

After ordering a trough level for Dr. Vanko, you receive the results back as 13 mcg/mL. The trough level was drawn appropriately. Would you need to adjust the regimen?

What would Mr. Vanko’s new dosing regimen be if you are aiming for a goal trough of 18 mcg/mL? (trough came back at 13 mcg/mL)

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Lesson #5 Questions Pt1

After reviewing Dr. Vanko’s medication administration record below, you would like to schedule a trough level. When would be an appropriate time?

Day #1: 1 pm: 1,750 mg given
Day #2: 1 am: 750 mg given, 1 pm: 750 mg given
Day#3: 1 am: 750 mg given, 1pm: 750 mg given

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Lesson #4: Vancomycin Dosing

Place the steps of how to approach dosing vancomycin in order to reveal the secret code to unlock the final lesson. (Hint: the ending letter leads to the ending lesson)

Step 1:

Step 2:

Step 3:

Step 4:

Step 5:

Step 6:

Step 7:

Enter the code to unlock the next quiz: (Hint: it doesn't spell anything)


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Lesson #4 Questions Pt8

For Dr. Vanko, what would be his estimated Cpeak with the maintenance dose and interval 750 mg every 12 hours?

For Dr. Vanko, what would be his estimated Cmin utilizing the previously calculated Cpeak?

For Dr. Vanko, what would be his estimated Cpeak with the maintenance dose and interval 1000 mg every 12 hours?

For Dr. Vanko, what would be his estimated Cmin utilizing the previously calculated Cpeak?

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Lesson #4 Questions Pt7

Using method #1 (weight-based calculation), what did you get for the maintenance dose?

Using method #2 (maintenance dose equation), what did you get for the maintenance dose?

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Lesson #4 Questions Pt7

Using method #1 (dosing interval equation), what did you get for Dr. Vanko's interval (rounded to the nearest interval) using a desired peak 35 mcg/mL and a desired trough of 18 mcg/mL?

Using method # 2 (population creatinine clearance table), what did you get for Dr. Vanko's interval (rounded to the nearest interval)?

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Lesson #4 Questions Pt6

What is Dr. Vanko's estimated elimination constant (rounded to the nearest thousandths)?

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Lesson #4 Questions Pt5

Utilizing method #1, calculate the loading dose you would give Dr. Vanko.

Utilizing method #2, calculate the loading dose you would give Dr. Vanko (assuming an estimated goal peak of 35 mcg/mL)

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Lesson #4 Questions Pt4

Based on what you know about Dr. Vanko’s CrCl, what dosing strategy would you use?

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Lesson #4 Questions Pt3

What Scr would you use to calculate Dr. Vanko's CrCl?

Calculate Dr. Vanko's creatinine clearance based on the IBW and Scr previously calculated/discussed.

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Lesson #4 Questions Pt2

Calculate Dr. Vanko’s ideal body weight.

Based on what you know about Dr. Vanko, what weight would you use to calculate his CrCl?

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Lesson #4 Questions Pt1

Assessing the patient's allergy list, can the patient receive vancomycin?

Based on the information given, is vancomycin indicated in this patient?

Is the patient's current antibiotic regimen appropriate?

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Lesson #3: Equations Explained

Third task: Match the following equations up with its counterpart to unlock the next lesson and obtain a token to help you with the rest of your journey.

Loading Dose

Volume of distribution

Elimination Constant (Ke)

Interval (T)

Maintenance Dose

Cpeak

Ctrough

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