Nursing & Healthcare Exam Prep

Phlebotomy Exam Prep 37, Therapeutic Drug Monitoring — Peak vs Trough

June 3, 2026·3 min
Episode Description from the Publisher

This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - The critical difference between trough (lowest drug concentration) and peak (highest drug concentration) levels. - Why precise timing is the most tested concept for therapeutic drug monitoring on the Phlebotomy exam. - How to correctly time a trough draw, which is always immediately before the next scheduled dose. - How to correctly time a peak draw for IV medications like vancomycin, which is 1-2 hours after the infusion is complete. - A simple mnemonic to remember the difference: "Trough is low, just before the go. Peak is high, after it's all inside." For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep

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