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52.下列何者為gentamicin引起的腎毒性之危險因子?
(A)Once daily dosing gentamicin
(B)血中谷濃度低於1 mg/L
(C)Congestive heart failure
(D)Dehydration


答案:D
難度: 簡單
最佳解!
大仁Jason藥師 國三下 (2015/04/17)
gentamicin引起的腎毒性之危險因★:★★★...


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4F
高分過 大二下 (2020/07/24)
脫水導致分布體積減少、減少清除率
To study the effect of dehydration on gentamicin (G) kinetics, a group of rats was deprived of water for 4 days and then received a single i.v. dose of 3 mg/kg of G. Compared to control rats, the plasma and tissue concentration of G in dehydrated rats were increased and the elimination rate of the drug decreased. Higher G concentrations were found in plasma, spleen, renal cortex and medulla. These changes in G disposition consisted in a decrease of 33 and 22% of the apparentvolume of distribution of the peripheral and central compartments, respectiv...
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5F
我是你的北醫前女友 大一下 (2021/06/08)

美美表格

胺糖類抗生素腎毒性之危險因子

 

患者因素

年長者、腎病、脫水、低血壓休克、肝腎症候群

用藥因素

治療>3、每日多次給藥trough>2 mg/l

併用腎毒性藥物

furosemide

amphotericin b

vancomycin

cisplatinum

cyclosporine

radiocontrast media

foscarnet

6F
倉鼠超可愛 大一上 (2023/06/19)

補充C選項:充血性心衰竭會造成體液滯留(體液容積升高),分佈體積Vd變大,實際濃度被稀釋,故非腎毒性危險因子。
§ 藥物導致的腎毒性危險因子:
老年人、有效體液容積減少(如:脫水)、電解質不平衡、糖尿病、腎功能不全、劑型因素、併用多種腎毒性藥物、長期使用腎毒性藥物、腎毒性藥物給藥頻率高等等。

52.下列何者為gentamicin引起的腎毒性之危險因子? (A)Once ..-阿摩線上測驗