The nurse is caring for a client receiving IV vancomycin. The trough level is 14 mcg/mL. The next dose is now due. What is the correct response by the nurse?

  • give the next dose as ordered
  • wait 2 hours and redraw the trough
  • wait 30 minutes and redraw the trough
  • hold the dose and notify the health care provider
Number 1 is correct.
The nurse should give the next dose as ordered. The therapeutic range for a vancomycin trough is 10 – 20 mcg/mL, so this client is within range. There is no need to wait and redraw the trough. Since the trough level is therapeutic, there is no need to hold the medication and notify the health care provider.