Peaks & Troughs
Adverse Effects
100

Drawn 30 minutes or less prior to 4th dose of vancomycin 

What is vancomycin trough? 

100
Redness and itching caused by rapid infusion of vancomycin. 

What is red man syndrome? 

200

Drawn with AM labs for patients on hemodialysis. 

What is vancomycin random level? 

200

Hearing or balance problems caused by super therapeutic levels of vancomycin. 

What is ototoxicity? 

300

Drawn 1-2 hours after completion of vancomycin dose. 

What is vancomycin peak level? 

300

BUN and creatinine levels are monitored to prevent which complication of vancomycin? 

What is nephrotoxicity? 

400

Peak and trough timing may be affected by this. 

What is creatinine clearance? 

400

Reaction that includes itching, rash or hives, and difficulty breathing. 

What is hypersensitivity or allergic response? 

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