The Renal Drug Handbook The ultimate prescribing guide for renal practitioners 5th Edition Ebook PDF download
The Renal Drug Handbook The ultimate prescribing guide for renal practitioners FOURTH EDITION Ebook PDF download Welcome to the fourth edition of Th e Renal Drug Handbook. Th e information contained in this book has been compiled from a wide range of sources and from the clinical experience of the editorial board of the UK Renal Pharmacy Group, all of whom are involved in the pharmaceutical care of renally impaired patients. As such, some of the information contained in the monographs may not be in accordance with the licensed indications or use of the drug.
Th e Handbook aims to:
The Renal Drug Handbook The ultimate prescribing Guide for renal practitioners 5th Edition Ebook PDF download
- provide healthcare professionals with a single reference of easily retrievable, practi-cal information relating to drug use, sourced from the practical experience of renal units throughout the UK.
- By referring to the monographs, the user is guided in how to prescribe, prepare and administer the drug with due regard to potentially serious drug interactions and to any renal replacement therapy the patient may be undergoing provide a practice- based review of drug utilisation in renal units across the UK.
- indicating, where appropriate, any local methods of use, licensed or otherwise.
In recent years, the classifi cation for chronic kidney disease (CKD) has changed, now being described as CKD stages 1–5. Each stage is defi ned by the patient’s eGFR (or estimated GFR), which is calculated using the MDRD (modifi cation of diet in renal disease) equation
One point to note is that the eGFR is normalised to a standard body surface area of 1.73 m2 Th ere is relatively good correlation between the two equations
for calculating renal function in patients of average weight, and either could be used for the majority of drugs. However, eGFR should not be used for calculating drug doses in patients at extremes of body weight nor for drugs with a narrow therapeutic window unless it is fi rst corrected to the actual GFR for that patient. Actual GFR can be calculated from the following equation.