ANALISIS ASPEK FARMAKOKINETIKA KLINIK PASIEN GAGAL GINJAL PADA IRNA PENYAKIT DALAM RSUP DR. M. DJAMIL PADANG

ABSTRACT: A study on the evaluation of clinical pharmacokinetic aspect to in-patient with renal ailure  at  internal  Ward  Dr.  M.  Djamil  hospital  Padang  has  been  conducted.  The  aspect studied  was  dosage  individualization  bades  on  patient’s  patophysiological  condition.  The study  aimed  at  comparing  the  dosage  regimen  given  to  the  renal  failure  patient  with  that calculated  using  pharmacokinetic  equations.  This  study  was  observasionaly  prospective  by using  cross-sectional  method.  In  the  period  of  June  –  September  2010,  48  renal  failure patients includes in inclusion criterion. Results showed that medications which mainly renal excreted  or  potentially  nephrotoxic  given  to  patients  are  ciprofloxacin,  digoxin,  ranitidin, metformin,  captopril,  furosemide  and  hydrochlortiazide.  Patients  treated  with  those medications were evaluated in terms of dosage regimens and clinical response. There were 4 cases of higher dose than recommended included 1 of 8 cases of captopril use, 2 of 9 cases of ciprofloxacin use and 1  of case of metformin use.  It uses also found that hydrochlortiazide which should be avoided to patients with Clcr < 30 ml/min (4 cases)
Keywords: gagal ginjal, nefrotoksik
Penulis: Henny Lucida, Riah Trisnawati dan Muslim Suardi
Kode Jurnal: jpfarmasidd110091

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