Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/80221
Type: | Journal article |
Title: | Prescribing for older people with chronic renal impairment |
Author: | Bell, J. Blacker, N. LeBlanc, V. Alderman, C. Phillips, A. Rowett, D. Rossi, S. Frank, O. Husband, A. |
Citation: | Australian Family Physician, 2013; 42(1):24-28 |
Publisher: | Royal Australian College of General Practitioners |
Issue Date: | 2013 |
ISSN: | 0300-8495 |
Statement of Responsibility: | J Simon Bell, Natalie Blacker, V Tammy LeBlanc, Christopher P Alderman, Adam Phillips, Debra Rowett, Simone Rossi, Oliver Frank, Alan Husband |
Abstract: | Background: Renal function is an important prescribing consideration. On average, glomerular filtration rate declines by about 10 mL/min every 10 years after the age of 40. Renal impairment may cause medicines to accumulate or cause toxicity, especially if the medicine has a narrow therapeutic index. Objective: To present an overview of prescribing considerations in the primary care setting for patients with chronic renal impairment. Discussion: Serum creatinine considered in isolation is not a reliable indicator of renal function. The estimated glomerular filtration rate provided in pathology reporting can alert prescribers to possible renal impairment and the need to consider dose adjustments. The Cockcroft-Gault equation should be used to adjust medicine doses. Renal function monitoring is recommended for patients using medicines that can impair renal function or cause nephrotoxicity (eg. NSAIDs, ACEIs, ARBs). |
Keywords: | renal insufficiency aged pharmaceutical preparations/ administration and dosage |
Rights: | This article is copyright to the Australian Government Department of Veterans’ Affairs. |
Published version: | http://search.informit.com.au/fullText;dn=094061794926269;res=IELHEA |
Appears in Collections: | Aurora harvest 4 General Practice publications |
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