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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.