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Tipos de colonias - Manosanta

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Renal Dosage Adjustment Gui<strong>de</strong>lines for AntimicrobialsThe pharmacists will automatically adjust the doses of any of the antimicrobials inclu<strong>de</strong>d in theprotocol according to the estimated creatinine clearance (using the Cockroft-Gault equation forpatients ≥ 18 years old and the Schwartz equation for patients < 18 years old). This protocoldoes NOT inclu<strong>de</strong> neonates. When a change is necessary, the pharmacist will write a new or<strong>de</strong>rin the Or<strong>de</strong>rs section of the medical record indicating the new dosage “per protocol” and enter theor<strong>de</strong>r in Carecast as a protocol (“P”) or<strong>de</strong>r. No physician signature will be required to authorizethe revised dosing or<strong>de</strong>r.The adjustments listed in the dosing gui<strong>de</strong>lines will be ma<strong>de</strong> unless the physician writes “Do notadjust” when or<strong>de</strong>ring the antimicrobial, with the exception of vancomycin, amikacin, gentamicin,and tobramycin. A pharmacokinetic consult will be performed by the pharmacist for these drugs,and the or<strong>de</strong>ring physician will be contacted for dosage changes unless or<strong>de</strong>red as “pharmacy todose.”The most current version of the Renal Dosage Adjustment Gui<strong>de</strong>lines for Antimicrobials can befound online at www.nebraskamed.com/asp.Please note:• If there are no clear recommendations available, do not attempt any automatic dosageadjustment. Consult with the physician.AbacavirAcyclovirAntimicrobial Normal Dose Renal Dosage AdjustmentBased on CrCl Estimate (inml/min)*Adult300 mg PO bid or 600 mg POqdayNo adjustment necessary.Pediatric8 mg/kg PO bidAdultPO200 mg PO 5x/dayCrCl 0-10: same dose bid400 mg PO 5x/day800 mg PO 5x/day400 mg PO bidIV5-12.4 mg/kg IV q8h- - - - - - - - - - - - - - - - - - - - - -PediatricPOCrCl 11-25: same dose tidCrCl 0-10: same dose bidCrCl 11-25: same dose tidCrCl 0-10: same dose bidCrCl 0-10: 200 mg PO bidCrCl 25-50: same dose q12hCrCl 10-24: same dose q24hCrCl


085 . Mundo<strong>Tipos</strong> <strong>de</strong> <strong>colonias</strong>1870-1913 / América, Asia y ÁfricaEL COLONIALISMOGLOSARIO A B C D E F G H I J K L M N Ñ O P Q R S T U V W X Y ZMATERIA PRIMAProducto tal como se extrae <strong>de</strong> la naturaleza, sintransformación alguna.

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