the intensive care unit for presumed staphylococcal sepsis. To avoid problems with possible
resistance, she is empirically given IV vancomycin while waiting for the culture results to
come back. Vancomycin is a renally excreted
drug. The patient's routine laboratory workup reveals a creatinine value of 3.2, indicating
acute renal failure. What specific considerations will have to be made with regard to
adjustments of the prescribed medication?
(a) She will have to be switched to an oral (per
nasogastric tube) vancomycin preparation
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