5 • 644 Ratings
🗓️ 5 January 2016
⏱️ 29 minutes
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In this episode, we have an in-depth review of how to measure glomerular filtration rate (GFR), including variants of the Cockcroft-Gault equation and newer, more accurate methods that may eventually be used to renally adjust certain medications.
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0:00.0 | Welcome to Helix Talk, a podcast presented by the Rosalind Franklin University College of Pharmacy. |
0:09.8 | We're hoping that our real-life clinical pearls and discussions will help you stay up to date |
0:15.3 | and improve your pharmacy knowledge. This podcast contains general information for educational purposes only. This is |
0:22.8 | not professional advice and should not be used in lieu of obtaining advice from a qualified |
0:27.4 | health care provider. And now on to the show. Welcome to Helix Talk episode 37. I'm your |
0:33.9 | co-host Dr. Kane. And I'm Dr. Patel. Unfortunately, we don't have Dr. Schumann here today, but he'll be with us with a future |
0:40.3 | episode. |
0:41.3 | Today we're going to talk about a very controversial topic in something that should be a mastery |
0:46.3 | of pharmacist, and that is calculating creatin clearance, or how should we estimate the |
0:52.3 | renal function in general? And we'll talk more about this, but |
0:56.0 | Cretin clearance is one of those things that pharmacists do all the time |
1:00.0 | for drug dosing purposes. |
1:02.0 | And what we mean by that is that when we want to analyze someone's renal function, |
1:06.0 | we can estimate it using something called cratin clearance. |
1:09.0 | And obviously if a drug uses the kidney to be eliminated from the body, if your kidneys don't |
1:13.8 | work as well, then we have to make adjustments for that. |
1:17.1 | So if you have a really low cratin clearance, it means that you have a low renal function. |
1:20.7 | Maybe you don't need as much of a medication because that medication is going to stick |
1:23.9 | around longer. |
1:24.9 | And so you were saying, Dr. Kane, that the reason we teach students all the pharmacokinetic |
1:29.9 | and dynamic of medications and want them to know those parameters is because it is ultimately |
1:35.4 | resulting into the drug response based on how well the kidney function is, correct? |
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