IV Tobra

S

Stillgoing

New member
My daughter cultured PA for the first time two weeks ago. They started her on 270 ml of IV Tobra 12 days ago while she was in the hospital. They tested her peak levels after two doses. I don't know the results but I know that they did not change the dose. After 8 doses the visiting nurse came to our house and drew blood to test her trough level. It was "2" and it should be at least 5 so they increased her dose to 390 ml.

Here is my question. Should they be testing her peak levels again after two of these higher doses? They will be testing her trough level on Monday so they will have the results for her clinic appt on Tuesday. Still, it seems like such a huge dosage jump.

The last time I called the doctors on the weekend they didn't return my call. I made the mistake (?) of saying it wasn't an emergency. It wasn't a 911 level emergency but Lauren did get admitted the following Wednesday. If I call this weekend I will have to say that it is an emergency to get a call back. My other choice is to go to Urgent Care or the ER and ask them to order the test. Finally, I could just trust the doctors and wait until I see them on Tuesday. I am so new to this that I need some guidance.

What are your thoughts?

Kathleen
mom to Lauren, 7 3/4 w/CF (dx at 5 1/2) and JJ 9, no CF
 
S

Stillgoing

New member
My daughter cultured PA for the first time two weeks ago. They started her on 270 ml of IV Tobra 12 days ago while she was in the hospital. They tested her peak levels after two doses. I don't know the results but I know that they did not change the dose. After 8 doses the visiting nurse came to our house and drew blood to test her trough level. It was "2" and it should be at least 5 so they increased her dose to 390 ml.

Here is my question. Should they be testing her peak levels again after two of these higher doses? They will be testing her trough level on Monday so they will have the results for her clinic appt on Tuesday. Still, it seems like such a huge dosage jump.

The last time I called the doctors on the weekend they didn't return my call. I made the mistake (?) of saying it wasn't an emergency. It wasn't a 911 level emergency but Lauren did get admitted the following Wednesday. If I call this weekend I will have to say that it is an emergency to get a call back. My other choice is to go to Urgent Care or the ER and ask them to order the test. Finally, I could just trust the doctors and wait until I see them on Tuesday. I am so new to this that I need some guidance.

What are your thoughts?

Kathleen
mom to Lauren, 7 3/4 w/CF (dx at 5 1/2) and JJ 9, no CF
 
S

Stillgoing

New member
My daughter cultured PA for the first time two weeks ago. They started her on 270 ml of IV Tobra 12 days ago while she was in the hospital. They tested her peak levels after two doses. I don't know the results but I know that they did not change the dose. After 8 doses the visiting nurse came to our house and drew blood to test her trough level. It was "2" and it should be at least 5 so they increased her dose to 390 ml.

Here is my question. Should they be testing her peak levels again after two of these higher doses? They will be testing her trough level on Monday so they will have the results for her clinic appt on Tuesday. Still, it seems like such a huge dosage jump.

The last time I called the doctors on the weekend they didn't return my call. I made the mistake (?) of saying it wasn't an emergency. It wasn't a 911 level emergency but Lauren did get admitted the following Wednesday. If I call this weekend I will have to say that it is an emergency to get a call back. My other choice is to go to Urgent Care or the ER and ask them to order the test. Finally, I could just trust the doctors and wait until I see them on Tuesday. I am so new to this that I need some guidance.

What are your thoughts?

Kathleen
mom to Lauren, 7 3/4 w/CF (dx at 5 1/2) and JJ 9, no CF
 
S

Stillgoing

New member
My daughter cultured PA for the first time two weeks ago. They started her on 270 ml of IV Tobra 12 days ago while she was in the hospital. They tested her peak levels after two doses. I don't know the results but I know that they did not change the dose. After 8 doses the visiting nurse came to our house and drew blood to test her trough level. It was "2" and it should be at least 5 so they increased her dose to 390 ml.

Here is my question. Should they be testing her peak levels again after two of these higher doses? They will be testing her trough level on Monday so they will have the results for her clinic appt on Tuesday. Still, it seems like such a huge dosage jump.

The last time I called the doctors on the weekend they didn't return my call. I made the mistake (?) of saying it wasn't an emergency. It wasn't a 911 level emergency but Lauren did get admitted the following Wednesday. If I call this weekend I will have to say that it is an emergency to get a call back. My other choice is to go to Urgent Care or the ER and ask them to order the test. Finally, I could just trust the doctors and wait until I see them on Tuesday. I am so new to this that I need some guidance.

What are your thoughts?

Kathleen
mom to Lauren, 7 3/4 w/CF (dx at 5 1/2) and JJ 9, no CF
 
S

Stillgoing

New member
My daughter cultured PA for the first time two weeks ago. They started her on 270 ml of IV Tobra 12 days ago while she was in the hospital. They tested her peak levels after two doses. I don't know the results but I know that they did not change the dose. After 8 doses the visiting nurse came to our house and drew blood to test her trough level. It was "2" and it should be at least 5 so they increased her dose to 390 ml.
<br />
<br />Here is my question. Should they be testing her peak levels again after two of these higher doses? They will be testing her trough level on Monday so they will have the results for her clinic appt on Tuesday. Still, it seems like such a huge dosage jump.
<br />
<br />The last time I called the doctors on the weekend they didn't return my call. I made the mistake (?) of saying it wasn't an emergency. It wasn't a 911 level emergency but Lauren did get admitted the following Wednesday. If I call this weekend I will have to say that it is an emergency to get a call back. My other choice is to go to Urgent Care or the ER and ask them to order the test. Finally, I could just trust the doctors and wait until I see them on Tuesday. I am so new to this that I need some guidance.
<br />
<br />What are your thoughts?
<br />
<br />Kathleen
<br />mom to Lauren, 7 3/4 w/CF (dx at 5 1/2) and JJ 9, no CF
<br />
<br />
 
J

JazzysMom

New member
I get tested after my second dose. If that is ok then I am tested weekly whether it be at home or in the hospital.
 
J

JazzysMom

New member
I get tested after my second dose. If that is ok then I am tested weekly whether it be at home or in the hospital.
 
J

JazzysMom

New member
I get tested after my second dose. If that is ok then I am tested weekly whether it be at home or in the hospital.
 
J

JazzysMom

New member
I get tested after my second dose. If that is ok then I am tested weekly whether it be at home or in the hospital.
 
J

JazzysMom

New member
I get tested after my second dose. If that is ok then I am tested weekly whether it be at home or in the hospital.
 
J

jaimers

Super Moderator
i'm the same as mel.

was the timing right for the peak and trough doses? i've had home health nurses be late, or not be able to get a vein, etc. and have the peak blood draw be late as well as the trough blood draw. make sure they are on time with the draws or that they mark how late they were because there are calculations that can be made for them to figure out if the dose is right, etc.
 
J

jaimers

Super Moderator
i'm the same as mel.

was the timing right for the peak and trough doses? i've had home health nurses be late, or not be able to get a vein, etc. and have the peak blood draw be late as well as the trough blood draw. make sure they are on time with the draws or that they mark how late they were because there are calculations that can be made for them to figure out if the dose is right, etc.
 
J

jaimers

Super Moderator
i'm the same as mel.

was the timing right for the peak and trough doses? i've had home health nurses be late, or not be able to get a vein, etc. and have the peak blood draw be late as well as the trough blood draw. make sure they are on time with the draws or that they mark how late they were because there are calculations that can be made for them to figure out if the dose is right, etc.
 
J

jaimers

Super Moderator
i'm the same as mel.

was the timing right for the peak and trough doses? i've had home health nurses be late, or not be able to get a vein, etc. and have the peak blood draw be late as well as the trough blood draw. make sure they are on time with the draws or that they mark how late they were because there are calculations that can be made for them to figure out if the dose is right, etc.
 
J

jaimers

Super Moderator
i'm the same as mel.
<br />
<br />was the timing right for the peak and trough doses? i've had home health nurses be late, or not be able to get a vein, etc. and have the peak blood draw be late as well as the trough blood draw. make sure they are on time with the draws or that they mark how late they were because there are calculations that can be made for them to figure out if the dose is right, etc.
<br />
 
M

Mommafirst

Guest
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>JazzysMom</b></i>

I get tested after my second dose. If that is ok then I am tested weekly whether it be at home or in the hospital.</end quote></div>


My daughter is on Tobra and Timentin now and this is how they did it too. One test at 6 hours after the first dose and since the levels were fine, just once a week after that.
 
M

Mommafirst

Guest
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>JazzysMom</b></i>

I get tested after my second dose. If that is ok then I am tested weekly whether it be at home or in the hospital.</end quote></div>


My daughter is on Tobra and Timentin now and this is how they did it too. One test at 6 hours after the first dose and since the levels were fine, just once a week after that.
 
M

Mommafirst

Guest
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>JazzysMom</b></i>

I get tested after my second dose. If that is ok then I am tested weekly whether it be at home or in the hospital.</end quote></div>


My daughter is on Tobra and Timentin now and this is how they did it too. One test at 6 hours after the first dose and since the levels were fine, just once a week after that.
 
M

Mommafirst

Guest
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>JazzysMom</b></i>

I get tested after my second dose. If that is ok then I am tested weekly whether it be at home or in the hospital.</end quote>


My daughter is on Tobra and Timentin now and this is how they did it too. One test at 6 hours after the first dose and since the levels were fine, just once a week after that.
 
M

Mommafirst

Guest
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>JazzysMom</b></i>
<br />
<br />I get tested after my second dose. If that is ok then I am tested weekly whether it be at home or in the hospital.</end quote>
<br />
<br />
<br />My daughter is on Tobra and Timentin now and this is how they did it too. One test at 6 hours after the first dose and since the levels were fine, just once a week after that.
<br />
 
You must log in or register to reply here.
Top