Renal-dosed Meds
This direct oral anticoagulant (DOAC) used to reduce the risk of stroke in atrial fibrillation should not be used in patients with severe renal impairment (CrCl <15mL/min).
Bonus: Name the three parameters for dosing adjustments in patients on the OTHER afib medication.
What is rivaroxaban?
Bonus: What is age >80, SCr >1.5, and Wt <60kg?
For patients with an eGFR of 50 Ml/min or less, this antibiotic used to treat UTIs should have the dosing interval extended to every 24 hours.
What is nitrofurantoin?
Which commonly used NSAID is nephrotoxic and should be avoided in CKD patients?
What is Ibuprofen?
This student was the one that died when the Chamber of Secrets was open 50 years ago.
Who is Moaning Myrtle?
What is the normal SCr range for SMH?
What is 0.6-1.2 mg/dL?
What is discontinue metformin?
Which antihypertensive drug requires dose adjustment in CKD?
Bonus: What is its starting dose for a patient with a CrCl of 40 mL/min?
What is lisinopril?
What is 5 mg QD?
What is Vancomycin?
This student solved the mystery of the beast that lives within the chamber of secrets.
Who is Hermione Granger?
Which electrolyte must be closely monitored when a patient with CKD is taking ACEI?
What is potassium?
For which renal function (CrCl) should the dose of Lovenox for DVT prophylaxis be reduced?
What is CrCl < 30mL/min?
When used for afib, this heart medication requires renal adjustment, especially if the patient's CrCl is < 60 mL/min to avoid toxicity.
What is digoxin?
What class of diuretics can cause hypovolemia and worsen kidney function when overused in CKD?
What are loop diuretics?
In Order of the Pheonix, this unforgivable curse was used by Harry potter on Belatrix lestrange.
What is Cruciatus?
While monitoring a patient with worsening kidney function, they revieve at GFR of 33 mL/min. What stage of CDK is this patient in?
What is stage 3b?
What is the appropriate adjustment for gabapentin in a patient with a CrCl of 15 mL/min?
What is Reduce to 300 mg every other day?
This antifungal medication is primarily eliminated through the kidneys and requires dose adjustments for renal impairment, especially in patients with GFR <50 mL/min.
What is fluconazole?
When the eGFR is <50 mL/min, this antibiotic class used to treat gram-negative infections requires an increase in dosing interval to avoid nephrotoxicity.
What are aminoglycosides?
Who said this quote: "You're not a bad person. You're a good person who bad things have happened to."
Who is Sirus Black?
What specific lab value must be monitored to avoid nephrotoxicity in a patient receiving vancomycin?
What are SCr and vancomycin trough levels?
How should Bactrim be dosed in a patient with a CrCl < 30mL/min?
What is Half the usual dose?
What is the recommended dose of allopurinol for a patient with a CrCl of < 30 mL/min?
What is 100mg daily?
This chemotherapy agent is known for causing dose-dependent nephrotoxicity, particularly when hydration protocols are not followed.
What is cisplatin?
How many staircases are there in Hogwarts?
What is 142?
What is the primary lab value monitored when a patient is on enoxaparin and has renal impairment?
What are anti-Xa levels?