Dosing Notes
Obese patients are dosed according to Dosing Body Weight (DBW).
Consult pharmacist or refer to "Additional Information" section for details.
Round to nearest 20 mg
Not On Dialysis: Extended Interval Dosing (CrCl)
7 mg/kg IV q24h
7 mg/kg IV q36h
Refer to conventional dosing
Not On Dialysis: Conventional Dosing (CrCl)
2 mg/kg IV q8h
2 mg/kg IV q12h
2 mg/kg IV q24h and consult pharmacist
2 mg/kg IV once and consult pharmacist
Not On Dialysis: Synergy dosing
1 mg/kg IV q8h
3 mg/kg IV q24h
Synergy dosing is based on Ideal Body Weight (IBW).
Consult pharmacist or refer to "Additional Information" section for details.
Intermittent Hemodialysis
2 mg/kg IV once then 1 mg/kg IV qHD Consult pharmacist
Synergy dosing: 1 mg/kg IV qHD
CVVHDF
3 mg/kg IV load, then 2 mg/kg IV q24-48h Consult pharmacist
Synergy dosing: 1 mg/kg IV q24h
PD
2 mg/kg IV once and consult pharmacist