As a hospital pharmacist, you will be asked more, which NSAID is preferred in patients with kidney disease?.. There is NOT a “safest” NSAID for the kidneys . You might’ve heard that short-acting NSAIDs (ibuprofen, etc) are least kidney toxic. But this isn’t supported by evidence. The real key is to use the lowest NSAID dose for the s…
قراءة المزيدAs a clinical pharmacist, you will get alerts about kidney problems when clarithromycin is combined with a calcium channel blocker (amlodipine, etc). Do your part... Clarithromycin is a strong 3A4 inhibitor that can slow the metabolism of calcium channel blockers and increase their levels. This can lead to hypotension , edema, bradycardia an…
قراءة المزيدAs a hospital pharmacist, you will field questions about the safe use of IV contrast. Think of IV contrast as two classes that aren’t interchangeable... Gadolinium-based contrast ( Magnevist, Omniscan, etc) is often used for MRI, and Iodine-based ( Omnipaque, Ultravist, Visipaque, Optiray, etc) for CT. Evaluate allergies. Iodine-base…
قراءة المزيدAmphotericin B is a polyene antifungal agent that acts by binding directly to ergosterol on the fungal cell membrane, resulting in disruption of membrane integrity and cell death. Amphotericin B has activity against a very wide range of clinically important yeasts and molds. Resistance to amphotericin B is rare. Amphotericin B has been the gold standard for t…
قراءة المزيدAs a pharmacist, you will see more focus on the kidney risks of non-steroidal anti-inflammatory drugs (NSAIDs). Some government and medical groups are now educating providers to avoid giving NSAIDs to patients at risk for kidney problems. Think about a patient's risk before suggesting an NSAID. It's usually okay for patients with …
قراءة المزيدOverview ㅡ Risk factors for contrast-induced nephropathy include creatinine clearance less than 60 mL/min (stages 3–5 chronic kidney disease), diabetes mellitus (with renal insufficiency), hypertension, chronic heart failure, cirrhosis, nephrosis, age over 75 years, cholesterol emboli syndrome, and multiple myeloma. Additional risk factors include hypovolemia, in…
قراءة المزيدNPS | Notes in Pharmacy Specialties is a free, open-access, peer-reviewed site focused on pharmacy practice. Articles are immediately accessible, covering clinical pharmacy, pharmaceutical care, health promotion, informatics, and more.
Egypt - Phone: (+20)1210274589
Gmail: abdelwahabward@gmail.com
Social Plugin