Renální insuficience je významným faktorem ovlivňujícím schopnost organismu udržovat vnitřní prostředí. V klinicky definovaných případech je u pacientů nutná náhrada eliminační funkce ledvin. Technické metody umožňují eliminaci toxických metabolitů, dochází ovšem také k eliminaci některých léčiv. Z tohoto pohledu je významné posouzení rizika kumulace léčiv u renální insuficience, stejně tak jako vlivu eliminační metody na clearance látek a přizpůsobení dávky, případně intervalu dávkování. Pro odhad eliminace léčiva je nezbytné zohlednit jak vlastnosti použité eliminační metody, tak farmakokinetické parametry léčiva.
Renal insufficiency is a significant factor affecting body's ability to maintain the internal homeostasis. In clinically defined cases, renal replacement therapy is required. Technical methods allow not only the elimination of toxic metabolites but also the elimination of certain drugs. According to this, it is crucial to determine the drug cummulation risk. In addition, quantitative drug clearance provided by the elimination method is as much relevant in order to provide dose and interval adjustment. To estimate drug elimination, both properties of the elimination methods and pharmacokinetic parameters of the drug should be taken into account.
- MeSH
- Renal Dialysis * methods trends utilization MeSH
- Renal Elimination * physiology drug effects MeSH
- Pharmacokinetics MeSH
- Hemodiafiltration methods trends utilization MeSH
- Hemofiltration methods trends utilization MeSH
- Pharmaceutical Preparations metabolism MeSH
- Humans MeSH
- Interdisciplinary Communication MeSH
- Renal Replacement Therapy * methods instrumentation utilization MeSH
- Peritoneal Dialysis methods trends utilization MeSH
- Renal Insufficiency diagnosis complications therapy MeSH
- Statistics as Topic MeSH
- Kidney Transplantation methods trends utilization MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
- Keywords
- cílená biologická terapie,
- MeSH
- Autoimmune Diseases therapy MeSH
- Biological Therapy history methods trends MeSH
- Kidney Failure, Chronic * prevention & control therapy MeSH
- Cyclophosphamide therapeutic use MeSH
- Cytokines antagonists & inhibitors MeSH
- Renal Dialysis history methods trends MeSH
- Genetic Research * MeSH
- Glomerulonephritis etiology prevention & control therapy MeSH
- Adrenal Cortex Hormones therapeutic use MeSH
- Humans MeSH
- Melanoma immunology therapy MeSH
- Lung Neoplasms immunology therapy MeSH
- Renal Replacement Therapy methods trends utilization MeSH
- Receptor Protein-Tyrosine Kinases antagonists & inhibitors therapeutic use MeSH
- Vasculitis etiology prevention & control therapy MeSH
- Check Tag
- Humans MeSH
- Publication type
- Interview MeSH
- MeSH
- Renal Insufficiency, Chronic * diagnosis classification prevention & control MeSH
- Kidney Failure, Chronic * diagnosis classification prevention & control MeSH
- Diagnostic Techniques, Urological utilization MeSH
- Child MeSH
- Drug Therapy methods utilization MeSH
- Glomerulonephritis etiology physiopathology therapy MeSH
- Glomerular Filtration Rate MeSH
- Hypertension etiology therapy MeSH
- Disease Attributes MeSH
- Creatinine isolation & purification blood MeSH
- Humans MeSH
- Adolescent MeSH
- Renal Replacement Therapy * methods standards utilization MeSH
- Polycystic Kidney, Autosomal Recessive physiopathology therapy MeSH
- Growth Disorders MeSH
- Proteinuria diagnosis prevention & control therapy MeSH
- Risk Factors MeSH
- Statistics as Topic MeSH
- Congenital Abnormalities epidemiology etiology MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- Adolescent MeSH
- MeSH
- Kidney Failure, Chronic * diagnosis prevention & control therapy MeSH
- Diabetes Mellitus prevention & control MeSH
- Renal Dialysis methods trends utilization MeSH
- Hemodialysis, Home methods trends utilization MeSH
- Glomerular Filtration Rate MeSH
- Informed Consent psychology legislation & jurisprudence MeSH
- Conservative Treatment * methods trends utilization MeSH
- Humans MeSH
- Meta-Analysis as Topic MeSH
- Neoplasms complications prevention & control MeSH
- Renal Replacement Therapy * classification methods utilization MeSH
- Obesity complications prevention & control MeSH
- Peritoneal Dialysis methods trends utilization MeSH
- Risk Factors MeSH
- Waiting Lists MeSH
- Practice Guidelines as Topic MeSH
- Statistics as Topic MeSH
- Kidney Transplantation methods trends utilization MeSH
- Age Factors MeSH
- Check Tag
- Humans MeSH
- MeSH
- Arteriovenous Fistula surgery nursing MeSH
- Arteriovenous Shunt, Surgical utilization MeSH
- Central Venous Catheters adverse effects trends utilization MeSH
- Vascular Access Devices * trends utilization MeSH
- Blood Vessel Prosthesis adverse effects trends utilization MeSH
- Renal Insufficiency, Chronic * diagnosis etiology therapy MeSH
- Renal Dialysis methods trends utilization MeSH
- Catheter-Related Infections etiology complications MeSH
- Humans MeSH
- Interdisciplinary Communication MeSH
- Renal Replacement Therapy * methods trends utilization MeSH
- Practice Guidelines as Topic MeSH
- Statistics as Topic MeSH
- Ultrasonography methods utilization MeSH
- Venous Thrombosis etiology complications therapy MeSH
- Check Tag
- Humans MeSH
- MeSH
- Early Medical Intervention methods trends utilization MeSH
- Time Factors MeSH
- Renal Insufficiency, Chronic * diagnosis classification prevention & control MeSH
- Renal Dialysis methods trends utilization MeSH
- Humans MeSH
- Meta-Analysis as Topic MeSH
- Renal Replacement Therapy * methods trends utilization MeSH
- Waiting Lists MeSH
- Practice Guidelines as Topic standards MeSH
- Statistics as Topic MeSH
- Kidney Transplantation * methods trends utilization MeSH
- Outcome and Process Assessment, Health Care methods utilization MeSH
- Check Tag
- Humans MeSH
- MeSH
- Renal Insufficiency, Chronic * diagnosis classification prevention & control MeSH
- Tissue Donors psychology education legislation & jurisprudence MeSH
- Transplantation, Homologous methods trends utilization MeSH
- Hypertension MeSH
- Humans MeSH
- Renal Replacement Therapy methods trends utilization MeSH
- Blood Group Incompatibility prevention & control MeSH
- Obesity complications MeSH
- Risk Factors MeSH
- Practice Guidelines as Topic MeSH
- Statistics as Topic MeSH
- Kidney Transplantation * methods trends utilization MeSH
- Age Factors MeSH
- Donor Selection methods trends utilization MeSH
- Legislation, Medical standards utilization MeSH
- Living Donors * psychology education legislation & jurisprudence MeSH
- Check Tag
- Humans MeSH
- MeSH
- Anemia diagnosis MeSH
- Early Medical Intervention * methods trends utilization MeSH
- Renal Insufficiency, Chronic * diagnosis classification prevention & control MeSH
- Diabetes Mellitus diagnosis prevention & control MeSH
- Renal Dialysis * methods trends utilization MeSH
- Glomerular Filtration Rate MeSH
- Hypertension diagnosis prevention & control MeSH
- Conservative Treatment methods utilization MeSH
- Creatinine isolation & purification blood MeSH
- Humans MeSH
- Evidence-Based Medicine trends MeSH
- Meta-Analysis as Topic MeSH
- Renal Replacement Therapy methods trends utilization MeSH
- Proteinuria urine MeSH
- Risk Factors MeSH
- Practice Guidelines as Topic MeSH
- Statistics as Topic MeSH
- Kidney Function Tests methods utilization MeSH
- Check Tag
- Humans MeSH
- Geographicals
- Czech Republic MeSH
- Europe MeSH
- United States MeSH
- MeSH
- Early Medical Intervention MeSH
- Renal Insufficiency, Chronic * classification prevention & control therapy MeSH
- Renal Dialysis methods trends utilization MeSH
- Phosphorus isolation & purification blood MeSH
- Comorbidity MeSH
- Comprehensive Health Care methods trends utilization MeSH
- Humans MeSH
- Meta-Analysis as Topic MeSH
- Interdisciplinary Communication * MeSH
- Renal Replacement Therapy methods trends utilization MeSH
- Nephrology methods organization & administration trends MeSH
- Hospitals, Special * organization & administration trends utilization MeSH
- Parathyroid Hormone isolation & purification blood adverse effects MeSH
- Prognosis MeSH
- Proteinuria complications urine prevention & control MeSH
- Risk Factors MeSH
- Statistics as Topic MeSH
- Kidney Transplantation methods trends utilization MeSH
- Age Factors MeSH
- Check Tag
- Humans MeSH
- MeSH
- Albuminuria diagnosis etiology physiopathology MeSH
- Antihypertensive Agents administration & dosage adverse effects therapeutic use MeSH
- Arteriosclerosis diagnosis etiology physiopathology MeSH
- Biomedical Research methods trends MeSH
- Renal Insufficiency, Chronic * diagnosis epidemiology prevention & control MeSH
- Fibrosis MeSH
- Glomerular Filtration Rate MeSH
- Hypertension physiopathology prevention & control therapy MeSH
- Peritoneal Dialysis, Continuous Ambulatory methods utilization MeSH
- Creatinine isolation & purification blood MeSH
- Quality of Life MeSH
- Humans MeSH
- Renal Replacement Therapy * methods trends utilization MeSH
- Nephrosclerosis epidemiology complications physiopathology MeSH
- Proteinuria diagnosis etiology MeSH
- Aging physiology metabolism pathology MeSH
- Statistics as Topic MeSH
- Age Factors * MeSH
- Check Tag
- Humans MeSH