The impact of continuous renal replacement therapy on drug therapy.
Critically ill patients with multisystem organ failure often require daily administration of large volumes of fluid to provide electrolyte and nutrition support, medications, and blood products. This often results in fluid overload, which has historically been managed with intermittent hemodialysis (IHD). Unfortunately, IHD entails a high rate of fluid and solute removal that often exacerbates hemodynamic instability. Accordingly, continuous renal replacement therapy (CRRT), involving slow and continuous removal of water and solutes from the plasma, is currently preferred for managing these patients.
Susla
G M
GM
Medical Information, MedImmune, Inc., Frederick, Maryland, USA. gsusla@att.net
D016638:Critical Illness; D004305:Dose-Response Relationship, Drug; D006439:Hemodynamics; D006440:Hemofiltration / Q000379:methods; D006801:Humans; D009102:Multiple Organ Failure / Q000150:complications*; D004364:Pharmaceutical Preparations / Q000008:administration & dosage / Q000378:metabolism*; D010599:Pharmacokinetics; D017582:Renal Replacement Therapy / Q000379:methods*
D004364:Pharmaceutical Preparations