Decrease the Dose of Ganciclovir in Renal Insufficiency
Decrease the Dose of Ganciclovir in Renal Insufficiency Angela D. Shoher MD Ganciclovir is an antiviral agent similar to acyclovir. It is active against all herpes viruses but is especially…
Use Caution when Using Milrinone in Renal Failure
Use Caution when Using Milrinone in Renal Failure Ying Wei Lum MD Mechanism of Action Milrinone is a selective inhibitor of type III cyclic adenosine monophosphate (cAMP) phosphodiesterase isozyme in…
Avoid the Subclavian Vein for Central Access of any Type in a Dialysis Patient or Possible Dialysis Patient
Avoid the Subclavian Vein for Central Access of any Type in a Dialysis Patient or Possible Dialysis Patient Michael J. Moritz MD There are almost 300,000 hemodialysis patients in the…
Do Not Give Fludrocortisone to Patients on Dialysis
Do Not Give Fludrocortisone to Patients on Dialysis Anthony D. Slonim MD, DRPH At times of stress or after major traumatic injury, the hypothalamic-pituitary-adrenal axis provides an important mechanism to…
Do not use Continuous Venovenous Hemodialysis in the Setting of Angiotensin-Converting Enzyme 2 and Vice Versa
Do not use Continuous Venovenous Hemodialysis in the Setting of Angiotensin-Converting Enzyme 2 and Vice Versa Anthony D. Slonim MD, DRPH Kinins are a group of peptides that have strong…
Clamp the Dialysate Line in Continuous Venovenous Hemodialysis Immediately if it Becomes Pink Tinged
Clamp the Dialysate Line in Continuous Venovenous Hemodialysis Immediately if it Becomes Pink Tinged Anthony D. Slonim MD, DRPH Acute renal failure is a commonly occurring problem in the care…
Remember that Continuous Venovenous Hemodialysis can Obscure a Temperature Spike
Remember that Continuous Venovenous Hemodialysis can Obscure a Temperature Spike Frank Rosemeier MD In the normal person, body core temperature is tightly regulated around a set value of 37° C…
Know the Drugs that Must be Redosed after Dialysis
Know the Drugs that Must be Redosed after Dialysis Edward T. Horn PharmD Acute renal failure is a common disease encountered in critically ill patients, with reported incidences of 5%…
Be Alert for Hypophosphatemia in the Intensive Care Unit Patient on Dialysis
Be Alert for Hypophosphatemia in the Intensive Care Unit Patient on Dialysis Adam R. Berliner MD Derek M. Fine MD Outpatients on chronic dialysis usually have trouble with hyperphosphatemia, requiring…
Use a Dedicated, Upper-Body, Single-Lumen Central Venous Catheter for Administration of Parenteral Nutrition
Use a Dedicated, Upper-Body, Single-Lumen Central Venous Catheter for Administration of Parenteral Nutrition Lisa Marcucci MD Although the use of parenteral nutrition was one of the milestone breakthroughs in the…
