Table of Contents
What color tube is used for vancomycin?
Red-
Specimen Requirements Red-top tube, lavender-top (K2- or K3- EDTA) tube, or green-top (heparin) tube. Do not use a gel-barrier tube. The use of gel-barrier tubes is not recommended due to slow absorption of the drug by the gel.
What is gold top blood test for?
Specimen required: 5ml serum SST (Gold top) Tests are performed by the immunology department at St Richards Hospital. This combined test will detect auto antibodies to gastric parietal cells; mitochondria; smooth muscle and liver-kidney microsomes.
How do you monitor vancomycin levels?
Vancomycin Monitoring
- Vancomycin serum concentrations should be checked to optimize therapy and used as a surrogate marker of effectiveness.
- Trough, rather than peak, levels should be monitored.
- Trough levels should be checked just before the fourth dose, when steady-state levels are likely to have been achieved.
What labs are needed for vancomycin?
Kidney function tests such as creatinine and creatinine urine or eGFR may be requested prior to the start of vancomycin therapy and at intervals, or as needed, to evaluate changes in kidney status.
What does SST tube test for?
Serum Separator Tube (SST®) for serum determinations in chemistry and serology. Contains separator gel and should not be used for toxicology or drug testing. Inversions ensure mixing of clot activator with blood. Blood clotting time 30 minutes.
What is vancomycin used for?
Vancomycin is used to treat colitis (inflammation of the intestine caused by certain bacteria) that may occur after antibiotic treatment. Vancomycin is in a class of medications called glycopeptide antibiotics. It works by killling bacteria in the intestines.
How is vancomycin dosed?
Typically 15 to 20 mg/kg every 8 to 12 hours for most patients (based on actual body weight, rounded to the nearest 250 mg increment). In general, the approach to establishing the vancomycin dose/interval is guided by a nomogram.
What color tube is SST?
PHLEBOTOMY SERVICES
| STOPPER COLOR | CONTENTS | VOL. |
|---|---|---|
| Gold Top (Serum Separator, “SST”) | Contains separating gel and clot activator | 6.0 mL |
| Light Blue – Yellow Label on Tube | Thrombin | 2.0 mL |
| Green | Sodium heparin(100 USP Units) | 5.0 mL |
| Tan | K2 EDTA | 5.0 mL |
What is SST tube used for?
Serum-separating tubes, also known as serum separator tubes or SSTs, are used in medical clinical chemistry tests requiring blood serum.
When to take a blood test for vancomycin?
In some situations, blood specimens for a vancomycin trough level should be obtained earlier. For example, if a patient is prescribed once-daily dosing of vancomycin, waiting until the fourth dose may not be ideal. For patients receiving intermittent hemodialysis, one of two approaches to monitoring vancomycin serum concentrations can be used. 3
When to take vancomycin before or after dialysis?
Target pre-dialysis vancomycin levels: 10-15 mg/L for ALL infections Vancomycin levels are drawn before the beginning of the hemodialysis session Do not hold post-dialysis vancomycin dose while waiting for results of pre-dialysis vancomycin levels unless there is a specific reason to do so
How many mg of vancomycin to give per HD session?
Vancomycin Dosing in Intermittent Hemodialysis (IHD, HD)1-7 Vancomycin Loading Dose: 1-2g (15-25mg/kg): If > 1.5g consider two divided doses separated by at least two hours 1st HD Session* Consider giving additional 500mg Post-HD if loading dose was given prior to 1st HD
When to use trough monitoring for vancomycin treatment?
The previous 2009 vancomycin consensus guidelines recommend trough monitoring as a surrogate marker for the target area under the curve over 24 hours to minimum inhibitory concentration (AUC/MIC). However, recent data suggest that trough monitoring is associated with higher nephrotoxicity. This document is an executive summary of the new