mytopeka Posted January 30, 2014 Share Posted January 30, 2014 Ok, time to ask. I've seen a couple of older folks, 70 to 90, with renal failure. None have them have been terribly complicated, came in with urinary retention or UTI, not septic, not admitted. I get concerned at that age and would some guidance on treating their UTIs. What are the upper levels of BUN and creatinine before I need to adjust their antibiotics doses? Is there a particularly safe antibiotic to use as outpatient therapy? Discussed it with attendings but still didn't get numbers to hang my hat on for next time. Link to comment Share on other sites More sharing options...
Moderator ventana Posted January 30, 2014 Moderator Share Posted January 30, 2014 no general rules other then good medicine check a BUN/Cr on them if you are in the ER (easy enough to do) or look up recent labs look in epocrates and dose adjust accordingly or go to my favorite renal page (perm bookmark on my computer) http://www.globalrph.com/renaldosing2.htm and read the correct dose Link to comment Share on other sites More sharing options...
GetMeOuttaThisMess Posted January 30, 2014 Share Posted January 30, 2014 Short answer, look at your med/abx reference guide. They have your answer in there typically based on Cr or GFR. Also delineate between ARI and CRF. ^^^ beat me to it. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted January 30, 2014 Moderator Share Posted January 30, 2014 Short answer, look at your med/abx reference guide. They have your answer in there typically based on Cr or GFR. Also delineate between ARI and CRF. ^^^ beat me to it. yup, there is a section at the back of sanfords with dosing based on Cr level. Link to comment Share on other sites More sharing options...
Recommended Posts
Archived
This topic is now archived and is closed to further replies.