Autor: |
Shih JA; Department of Medicine, Harvard Medical SchoolBostonMassachusetts., Alexander RE; Department of Medicine, Massachusetts General HospitalBostonMassachusetts., Nagle D; Department of Medicine, Massachusetts General HospitalBostonMassachusetts., Fenves AZ; Department of Medicine, Harvard Medical SchoolBostonMassachusetts.; Department of Medicine, Massachusetts General HospitalBostonMassachusetts. |
Jazyk: |
angličtina |
Zdroj: |
Proceedings (Baylor University. Medical Center) [Proc (Bayl Univ Med Cent)] 2019 Jan 15; Vol. 32 (1), pp. 131-133. Date of Electronic Publication: 2019 Jan 15 (Print Publication: 2019). |
DOI: |
10.1080/08998280.2018.1528961 |
Abstrakt: |
Creatinine-based equations are used as standard ways to estimate glomerular filtration rate and kidney function. Unfortunately, serum creatinine varies based on factors such as age, gender, and muscle mass. Overestimation of renal function by creatinine-based equations can be dangerous for renally dosed medications, such as enoxaparin. We present a patient who developed spontaneous bleeding on enoxaparin where kidney function was significantly overestimated by creatinine-based equations. The use of cystatin C levels, which are creatinine independent, can provide a better prediction of renal function. |
Databáze: |
MEDLINE |
Externí odkaz: |
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