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hello and welcome to another video at the pharmacist Academy whoa how to monitor patients on vancomycin now vancomycin is a very important antibiotic simply because it has potential to cause renal failure now this renal failure is usually preventable by monitoring the patients trough levels so in this video we are going to discuss how to dose these patients initially how to modify the doses and how to monitor these patients while theyre taking the medication now to begin I wanted to provide a little background of vancomycin vancomycin is a glycoside antibiotic and it mostly covers gram-positive organisms right includes an Mrs a B number one concern and the number one use really for vancomycin and Clostridium difficile infections c diff in that case we use the oral form of vancomycin now the medical users are listed here for your information and vancomycin is usually used also when a patient has a penicillin allergy so they can get lets say any type of penicillin cephalosporins or w