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Drug Dosing in Renal Insufficiency - Philippine College of Physicians

Drug Dosing in Renal Insufficiency - Philippine College of Physicians

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<strong>Drug</strong> dos<strong>in</strong>g considerations for PD<br />

• Perform antibiotic load<strong>in</strong>g by an extended cycle<br />

<strong>in</strong> CAPD and APD<br />

• Transperitoneal<br />

For most drugs<br />

drug<br />

<strong>in</strong> cl<strong>in</strong>ical<br />

movement<br />

use,<br />

may<br />

there<br />

be<br />

is<br />

less<br />

little<br />

effective <strong>in</strong> the acute phase <strong>of</strong> peritoneal<br />

evidence <strong>in</strong>fection when <strong>of</strong> significant <strong>in</strong>flammation-related drug removal capillary dur<strong>in</strong>g<br />

hyperperfusion subsides chronic PD.<br />

• Short dwell times <strong>in</strong> APD may prevent<br />

accumulation <strong>of</strong> antibiotic <strong>in</strong> the peritoneal<br />

cavity.<br />

• Monitor<strong>in</strong>g <strong>of</strong> drug blood levels is advocated.<br />

KDIGO 2011

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