Have a High Level of Suspicion for Drug-Induced Acute Interstitial Nephritis Adam R. Berliner MD Derek M. Fine MD Drugs cause the vast majority of acute interstitial nephritis (AIN), particularly…
Be Aware that Lipid-Based Amphotericin Products are Associated with Less Renal Toxicity than Regular Amphotericin but can Still Cause Renal Injury John J. Lewin III PharmD Amphotericin B is a…
Remember that Trimethoprim-Sulfamethoxazole (Bactrim) Crystals can Precipitate in the Kidney and Cause Renal Damage and Failure Praveen Kalra MD Bactrim is an antibiotic drug formed by combining the sulfonamide sulfamethoxazole…
Decrease the Dose of Ganciclovir in Renal Insufficiency Angela D. Shoher MD Ganciclovir is an antiviral agent similar to acyclovir. It is active against all herpes viruses but is especially…
Use Caution when Using Milrinone in Renal Failure Ying Wei Lum MD Mechanism of Action Milrinone is a selective inhibitor of type III cyclic adenosine monophosphate (cAMP) phosphodiesterase isozyme in…
Avoid the Subclavian Vein for Central Access of any Type in a Dialysis Patient or Possible Dialysis Patient Michael J. Moritz MD There are almost 300,000 hemodialysis patients in the…
Do Not Give Fludrocortisone to Patients on Dialysis Anthony D. Slonim MD, DRPH At times of stress or after major traumatic injury, the hypothalamic-pituitary-adrenal axis provides an important mechanism to…
Do not use Continuous Venovenous Hemodialysis in the Setting of Angiotensin-Converting Enzyme 2 and Vice Versa Anthony D. Slonim MD, DRPH Kinins are a group of peptides that have strong…
Clamp the Dialysate Line in Continuous Venovenous Hemodialysis Immediately if it Becomes Pink Tinged Anthony D. Slonim MD, DRPH Acute renal failure is a commonly occurring problem in the care…
Remember that Continuous Venovenous Hemodialysis can Obscure a Temperature Spike Frank Rosemeier MD In the normal person, body core temperature is tightly regulated around a set value of 37° C…
