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Wheeless' Textbook of Orthopaedics
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Renal / Dialysis





- Dialysis:
    - for hypercatabolic patient early and aggressive dialysis which is
          instituted before the Cr is > 8-10 and before BUN > 100 improves
          patient outcome;
    - hemodialysis effciently removes aminoglycosides (50% after 4hrs) and
          penicillins and cephalosporins;
          - hence drug doses should be given at the end of dialysis;




Original Text by Clifford R. Wheeless, III, MD.