prostatitis. The doctor has chosen to treat with ciprofloxacin and needs to know the regimen to start Mr Smith on. Mr Smith has suspected renal impairment, so is necessary to calculate his creatinine clearance and consider the information from the SPC excerpt.  You may find the information below useful. Weight : 55kg Potassium : 4.2mmol/L Sodium : 139mmol/L          Urea :  15mg/L Serum Creatinine : 104 micromol/L Cockroft Gault equation: [ X (140-age) x (weight in kg)]

Comprehensive Medical Terminology
4th Edition
ISBN:9781133478850
Author:Jones
Publisher:Jones
Chapter12: The Digestive System
Section: Chapter Questions
Problem E8CRE
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A patient has been admitted onto the ward on which you are working today. Mr Smith, who is 65 years old, has been diagnosed with bacterial prostatitis. The doctor has chosen to treat with ciprofloxacin and needs to know the regimen to start Mr Smith on. Mr Smith has suspected renal impairment, so is necessary to calculate his creatinine clearance and consider the information from the SPC excerpt. 

You may find the information below useful.

Weight : 55kg

Potassium : 4.2mmol/L

Sodium : 139mmol/L         

Urea :  15mg/L

Serum Creatinine : 104 micromol/L

Cockroft Gault equation:

[ X (140-age) x (weight in kg)] / serum creatinine (in micromole/L)

Where X = 1.04 for females and X = 1.23 for males

 

Creatinine Clearance (mL/min)

Dose

Frequency

>60

400mg

Three times a day

30-59 

400mg

Twice a day

<29 

400mg

Once a day

What dose is appropriate total daily dose to recommend Mr Smith?  units - mg

 

 

 

 

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