Drug Prescribing in Renal Failure: Dosing Guidelines for Adults, Fifth Edition

Drug Prescribing in Renal Failure: Dosing Guidelines for Adults, Fifth Edition [Paperback]

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Drug Prescribing in Renal Failure: Dosing Guidelines for Adults, Fifth Edition
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Here is the classic pocket guide to drug-dosing for patients with impaired renal function in a revised and updated New Edition! Easy-to-read tables put the information physicians need when determining dosages for more than 450 drugs at their fingertips. Plus, this New Edition features brand-new guidance on pediatric dosing, making it the most complete resource of its kind.

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• Paperback: 272 pages
• Publisher: American College of Physicians; 5 edition (June 6, 2007)
• Language: English
• ISBN-10: 1930513763
• ISBN-13: 978-1930513761
• Product Dimensions: 8.2 x 4.9 x 0.7 inches
• Shipping Weight: 12 ounces (View shipping rates and policies)
• Amazon Best Sellers Rank: #415,448 in Books (See Top 100 in Books)
  • #43 in Books > Textbooks > Medicine & Health Sciences > Medicine > Clinical > Nephrology
  • #51 in Books > Medical Books > Medicine > Internal Medicine > Nephrology

Several features in Edition 5 are welcomed, these were on my wish list.

1. Expanded information about metabolism and excretion. Numerous entries do include limited details on P450 enzyme systems and the bibliography at the end gives references which could provide more specific data.
2. Percent plasma binding & volume of distribution are still given, these do help with predicting dialyzability of meds or anticipating difficulties in patients with large BSAs.
3. More supplementation guidelines are provided for intermittent hemodialysis, CRRT and PD when known.
4. There is, in fact, a mobile version for Palm, Blackberry, PocketPC, Tablet PC, Laptops and Desktops available through [...] and called RFDrugs which I have not yet explored.
5. Also I appreciate the consistent and concise categorization of CrCl (>50, 10-50 and <50 ml/min) for dosage adjustments, rather than the rather inconsistent and scattered information provided by pharmaceutical manufacturers. The latter may still be useful for individual patient cases and is widely available in other sources -- but I find that the arrangement in this handbook is very useful for memorizing general trends.
6. Where specific side-effects are more likely in renal patients, these are frequently highlighted as well.
7. A new pediatric section. In my training, this would have been useful though I have less practical need for it now.

SKEPTICISMS:

Unfortunately several years of experience do not bear out for me the range of dosages listed for persons with renal insufficiency for nonsteroidal drugs nor for the narcotics.

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