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psnet.ahrq.gov/node/44852/psn-pdf
February 10, 2016 - The most
common errors were due to inadequate dosing adjustments for weight, renal insufficiency, or
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psnet.ahrq.gov/issue/effect-computerized-provider-order-entry-clinical-decision-support-adverse-drug-events-long
February 26, 2009 - Computerized clinical decision support during medication ordering for long-term care residents with renal … Computerized clinical decision support during medication ordering for long-term care residents with renal
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psnet.ahrq.gov/node/35130/psn-pdf
March 11, 2011 - capacity of electronic alerts to reduce inappropriate prescribing of medications to
inpatients with renal
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psnet.ahrq.gov/node/45713/psn-pdf
November 22, 2017 - assigning-responsibility-close-loop-radiology-test-results
https://psnet.ahrq.gov/issue/60-year-old-man-delayed-care-renal-mass
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psnet.ahrq.gov/node/49787/psn-pdf
March 01, 2017 - lithium use for treatment of bipolar or mood disorders is associated with several different types
of renal … nephrotic syndrome from minimal change disease or focal segmental glomerulosclerosis.(1) The most
common renal … cause it.(2,3)
Up to 60% of lithium filtered by the kidney is reabsorbed, mainly by the proximal renal … Take-Home Points
Chronic lithium use is associated with renal toxicity, most commonly nephrogenic diabetes
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psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
February 10, 2021 - changes, rapid-onset or severe hyperkalemia >6.5 mEq/L, or underlying heart disease, cirrhosis, or renal … hypokalemia exacerbated by transcellular shifts (from albuterol, insulin, and sodium bicarbonate), renal … associated hyperkalemia with the patient’s recently modified dietary intake in conjunction with poor renal … Nonetheless, the physician should have reviewed the EHR to ascertain baseline renal function and any … combination of hyponatremia and hyperkalemia is explained by a limited number of conditions (e.g., renal
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psnet.ahrq.gov/web-mm/lot-pain-medications
September 23, 2020 - hydromorphone, are eliminated primarily in the urine, necessitating dosage adjustment in the presence of renal … He was found to have new acute renal insufficiency, which likely had contributed to a build-up of opioids … opioid drugs with likely incomplete cross-tolerance, co-prescription of other sedating medications, and renal … Morphine and hydromorphone should be dose reduced in the setting of renal failure, and benzodiazepines … Most opioids, with the exception of fentanyl, need to be dose reduced in the setting of renal failure
-
psnet.ahrq.gov/node/46616/psn-pdf
July 02, 2019 - While nearly all duplicate drug alert and drug allergy
overrides were appropriate, most renal or age
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psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-errors-operating-room
January 29, 2021 - Event #1: A 28-year-old woman was admitted for deceased donor renal transplant surgery. … Event #2: A 50-year-old woman was admitted for deceased donor renal transplant surgery. … Anesthesia for renal transplant surgery: an update. Eur J Anaesthesiol 2012;29(12):552-58.
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psnet.ahrq.gov/issue/improving-pain-management-hospitalized-medical-patients
May 01, 2023 - WebM&M Cases
Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal
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psnet.ahrq.gov/node/49534/psn-pdf
May 01, 2007 - The rest of his
electrolytes, renal function, and liver function tests [aspartate aminotransferase ( … A different equation is used to correct phenytoin levels for end-stage renal disease,
another common … In patients with low serum albumin or end-stage renal disease, total (bound + unbound) phenytoin
levels … Factors That Can Alter Phenytoin Protein Binding (4)
Hypoalbuminemia
End-stage renal disease (creatinine … Correcting a Total (Bound + Unbound) Phenytoin Level for Hypoalbuminemia and End-Stage Renal
Disease
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psnet.ahrq.gov/node/49717/psn-pdf
September 01, 2014 - He was
found to have new acute renal insufficiency, which likely had contributed to a build-up of opioids … opioid-related adverse events include patient-related factors such as age (
15,16), obesity (15,16), renal … drugs with likely incomplete cross-
tolerance, co-prescription of other sedating medications, and renal … Morphine and hydromorphone should be dose reduced in the
setting of renal failure, and benzodiazepines … Most opioids, with the exception of fentanyl, need to be dose reduced in the setting of renal failure
-
psnet.ahrq.gov/web-mm/transition-nowhere
March 21, 2009 - initially required intensive care unit admission for urgent hemodialysis before having a return of renal … The inpatient team desired a 1-week follow-up appointment to check renal function, potentially re-start … medications held during hospitalization because of the renal failure, and ensure entry into the primary … Once his renal function was assessed and found to be back to baseline, his previously held antihypertensives
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.152_slideshow.ppt
June 01, 2007 - antibiotic use
Partial thromboplastin time (PTT) History of bleeding diathesis
Electrolytes Known renal … Test Indications
Renal function Age > 50 years, hypertension, cardiac disease, major surgery, medications … that may affect renal function
Glucose Obesity or known diabetes
Liver function tests No indication … abstract&list_uids=12575882
Laboratory Evaluation Indicated for this Patient
Complete blood count*
Renal
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psnet.ahrq.gov/node/49867/psn-pdf
July 02, 2019 - Thiazide diuretics act by reducing reabsorption of sodium (and chloride) in the distal renal tubules, … suddenly when edema is caused by heart failure exacerbation or deep vein
thrombosis.(7) In addition, her renal … diuretics for that matter, in treating edema of causes other
than heart failure, liver disease, or renal
-
psnet.ahrq.gov/node/60169/psn-pdf
March 25, 2020 - Event #1: A 28-year-old woman was admitted for deceased donor renal transplant surgery. … Event #2: A 50-year-old woman was admitted for deceased donor renal transplant surgery. … Anesthesia for renal transplant surgery: an update. Eur J Anaesthesiol
2012;29(12):552-58.
9.
-
psnet.ahrq.gov/node/35771/psn-pdf
May 27, 2011 - For instance, the capacity to provide renal drug dosing, specific drug guidance,
and mechanisms for
-
psnet.ahrq.gov/node/48112/psn-pdf
July 10, 2019 - A WebM&M commentary described a
chemotherapy infusion error that caused renal failure.
-
psnet.ahrq.gov/node/35620/psn-pdf
February 03, 2011 - directed at
vulnerable populations such as elderly patients with specific comorbidities (eg, diabetes, renal
-
psnet.ahrq.gov/node/857258/psn-pdf
November 30, 2023 - in patients
taking anticonvulsant medications and significantly reduced in patients with impaired renal … Reduce the dose of rocuronium in patients with renal and hepatic impairment
https://psnet.ahrq.gov// … Older patients and
patients with impaired renal and hepatic function are at particular risk for persistent … (PACU).16 Anesthesia care providers may not always appreciate how significantly the
impairment of renal … Cis-atracurium does not rely on
renal and hepatic function for elimination, but it has the significant