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Chapter 2 - Prescribing in Renal Disease

from Part 2 - Prescribing for Patient Groups

Published online by Cambridge University Press:  08 June 2020

Hugh Montgomery
Affiliation:
Centre for Human Health and Performance, University College London
Robert Shulman
Affiliation:
University College Hospitals London
Mayur Murali
Affiliation:
Whittington Hospital, London
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Summary

Kidneys are sensitive to damage by drugs, with up to 20% of episodes of drug-induced acute renal failure. New prescribers must be able to identify these patients and eliminate these risks when possible; avoid potentially nephrotoxic drugs; and adjust drug doses in patients, where necessary, in those with pre-existing renal impairment to avoid drug accumulation and toxicity. This chapter identifies high-risk drug classes to avoid in renal failure, top tips to avoid drug toxicity, how to treat patients in chronic renal failure and provides a quick reference guide for drug dose reduction in those with renal impairment.

Type
Chapter
Information
Surviving Prescribing
A Practical Guide
, pp. 5 - 16
Publisher: Cambridge University Press
Print publication year: 2020

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