Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
10 Cards in this Set
- Front
- Back
What information do you need from the patient to determine Glomerular Filtration Rate (GFR)?
|
Physical exam - presence of ascites, edema, or dehydration.
Height Weight (Ideal vs actual BW) sex/age Serum Creatinine |
|
What is the equation for cockroft-gault to measure Creatinine Clearance?
|
(140-age) x Ideal Body Weight (Kg)/
72 x Serum Creatinine x.85 for women IDW (Men) = 50 + 2.3/ inches over 5ft IDW (Women) = 45.5 + 2.3/inches over 5ft |
|
What is the MDRD equation?
|
It is the Modification of Diet in Renal Disease
Takes race into account and may be more accurate for those with impaired renal function Not used in dosage adjustments |
|
What are the 3 types of dialysis?
|
Hemodialysis
Peritoneal Dialysis Continuous Renal Replacement Therapy (CRRT) |
|
Changes in liver blood flow can be attributed to these two things.
|
Acute blood loss
Cirrhosis |
|
Decreased blood flow to the liver would decrease "first pass effect". This would have what 2 effects in terms of drug metabolism?
|
Increased Bioavailability
Increased adverse effects and toxicity |
|
Damage to hepatocytes would alter these two liver function tests.
|
AST/ALT
|
|
Cholestasis and decreased conjugation would alter this value
|
Direct Bilirubin/Total Bilirubin
|
|
Changes in synthetic function would alter these two values.
|
Albumin
INR |
|
What are the Beers Criteria?
|
A guide of medications that are inappropriate for the elderly.
|