Vancomycin is really not the issue in and of itself. Insert any nephrotoxic drug into the equation and you would get the same result. Nephrotoxicity is possible with any renally eliminated drug, but when added to other potentially nephrotoxic drugs your chances of having issues goes up dramatically.
The sepsis protocols are truly an issue. Many providers don’t fucking think anymore and simply start picking the standard plans based on symptoms. Multi-organ system failure....welp, must be septic. Vancomycin and zosyn (nephrotoxic together) are added the the remdesivir and the problems really begin. CRRT is a sure bet and thus the death spiral begins. All for a non-bacterial issue that antibiotics wouldn’t help anyway. The hospitals have known remdesivir is shit from the get go but the greedy fucks can’t resist the extra 20% covid bucks for using it. Sad.
Don’t go to the hospital if you can avoid it. There are options available that work.
Vancomycin is really not the issue in and of itself. Insert any nephrotoxic drug into the equation and you would get the same result. Nephrotoxicity is possible with any renally eliminated drug, but when added to other potentially nephrotoxic drugs your chances of having issues goes up dramatically.
The sepsis protocols are truly an issue. Many providers don’t fucking think anymore and simply start picking the standard plans based on symptoms. Multi-organ system failure....welp, must be septic. Vancomycin and zosyn (nephrotoxic together) are added the the remdesivir and the problems really begin. CRRT is a sure bet and thus the death spiral begins. All for a non-bacterial issue that antibiotics wouldn’t help anyway. The hospitals have known remdesivir is shit from the get go but the greedy fucks can’t resist the extra 20% covid bucks for using it. Sad.
Don’t go to the hospital if you can avoid it. There are options available that work.