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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 patientamp;#39;s 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 theyamp;#39;re 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 letamp;#39;s say any type of penicil