TABLE 1.
Drug | Dose (mg) | Vol per administration (ml) | Time of infusion (h) | Drug:ceftazidime ratio in final infusate
|
Resultb | |
---|---|---|---|---|---|---|
Wt ratio | Molar ratio | |||||
Anti-infectives | ||||||
Amikacin | 1,500c | 100 | 0.25 | 27.7 | 25.9 | c |
Isepamicin | 1,500c | 100 | 0.25 | 27.7 | 26.6 | c |
Tobramycin | 600d | 100 | 0.25 | 11.1 | 12.9 | c |
Gentamicin | 600d | 100 | 0.25 | 11.1 | 13.1 | c |
Vancomycin | 1,500 | 50 | 1 | 9.0 | 3.3 | I (phys)* |
Erythromycin | 1,000 | 20 | 0.33 | 13.9 | 10.3 | I (phys)* |
100 | 0.33 | 12.4 | 9.2 | c+ | ||
Clarithromycin | 500 | 10 | 0.33 | 12.4 | 9.2 | I (phys)* |
50 | 0.33 | 12.4 | 9.2 | c+ | ||
Fluconazole | 200 | 100 | 0.5 | 1.59 | 2.8 | c |
Sedatives/anticonvulsants | ||||||
Ketamine | 480 | 48 | 24 | 0.08 | 0.19 | c |
Propofol | 300 | 300 | 24 | 0.05 | 0.17 | I (phys)** |
Sufentanil | 0.12 | 24 | 24 | 1.98 | 2.8 | c |
Midazolam | 600 | 120 | 24 | 0.1 | 0.17 | I (phys)* |
Valproic acid | 1,200 | 12 | 24 | 0.2 | 0.76 | c |
Antihypertensives/diuretics | ||||||
Nicardipine | 120 | 120 | 24 | 0.02 | 0.02 | I (phys)* |
Uradipil | 2,400 | 480 | 24 | 0.4 | 0.56 | c |
Furosemide | 960 | 96 | 24 | 0.16 | 0.26 | c |
Miscellaneous | ||||||
N-Acetylcystein | 10,000 | 100 | 24 | 1.7 | 5.69 | I (chim) |
Amino acid solution | 18,000e | 1,000 | 24 | 30.1 | c |
All conditions are meant to mimic one administration to a patient with a body weight of 100 kg; ceftazidime was assumed to be infused at a rate of 4 g/24 h in a volume of 48 ml.
c, compatible (c+, very slight precipitate with complete recovery of ceftazidime upon dilution); I (phys), physically incompatible [I (phys)*, immediate precipitation; I (phys)**, trapping in emulsion]; I (chem), chemically incompatible (>10% ceftazidime degradation).
Dose, 15 mg/kg of body weight once daily.
Dose, 6 mg/kg, once daily.
VAMIN (standard amino acid solution for parenteral nutrition). Dose was 18 g of amino acid nitrogen/liter.