04-06-2006, 03:29 AM
If Metronidazole does not work, do we give Vancomycin IV or Oral????
Antibiotic-associated diarrhea - hsar
|
04-06-2006, 03:29 AM
If Metronidazole does not work, do we give Vancomycin IV or Oral????
04-06-2006, 04:13 AM
C'mon!!! You guys always make me ask twice!!! Allright....I will do it.....
Please....clear this doubt for me!
04-06-2006, 05:31 AM
ok hsar thx forthe question
first of all u have to discontinue the causative antibiotic and give IV fluids and correct electrolytes ,then if this didn`t work or u can`t discontinue the AB then u add oral metronidazole which is preferable on Vancomycine(ORALLY). Mertranidazole if didn`t work then u will go to oral vancomycine look : metronidazole is preferable because: less expensive and minimize the emergance of vancomycine resisitant Enterococcus. I hope it`s clear now::)))))))
04-06-2006, 06:09 AM
Yes, thank you! So we give oral vancomycin instead of IV because IV vancomycin does not cross the bowel wall but Oral does.
04-06-2006, 10:52 AM
and to hsaar or anyy body ; what is the side effet of metronidazole and what is the side effect of vancomycin/?
why are U so much worried ABOUT VRE?
04-06-2006, 11:05 AM
Metronidazole: Common S/E N, V, D, dyspepsia, metallic taste. Disulfiram-like rxn with alcohol, Seizures & Peripheral neuropathy
Vancomycin: Nephrotoxicity, Ototoxicity, Thrombophlebitis & flushing ("red man/red neck syndrome, which can be prevented by pretreatment with antihistamines & slow infusion rate) |
« Next Oldest | Next Newest » |