ISSN:1784-3286    

DOI:10.1080/17843286.1974.11716928

出版商:Taylor&Francis    

年代:1974

数据来源: Taylor

摘要:

SummaryThe use of drugs in the adult patient with renal failureThe kidney plays an important role in the excretion of many drugs and drug metabolites. It is essential to recognise not only when drug dosage should be reduced in patients with renal failure, but also when drugs must be used in full-dosage.A practical guide to the pharmacological management of patients with different degree of renal failure is presented.Information concerning the elimination pattern, serum half-life in patients with normal renal function and with advanced renal failure, and the effect of dialysis in drug removal is included, in order to clarify the proposed drug dosage.The most important drug belonging to the group of antibiotics, antiarrhythmic agents, cardiotonics, antihypertensive drugs, diuretics, anticoagulants, hypoglycemic agents, drugs used in psychiatric disorders, anticonvulsants, analgetics, drugs used in rhematoid arthritis and allied conditions, antineoplastic and immunosuppressive agents are listed in this order. Since information on many drugs is incomplete, some of the recommendations are based on inadequate and conflicting data. The proposed drug dosage represents the best judgment of the author of this time.

ISSN:1784-3286    

DOI:10.1080/17843286.1974.11716929

出版商:Taylor&Francis    

年代:1974

数据来源: Taylor

摘要:

SummaryThe increment in the number of patients to be treated in Belgium by chronic hemodialysis over the next five years is evaluated. The influence of the age limits set for therapy and of the number of transplantations performed annually is analyzed. Over the next five years the presently available facilities will have to be multiplied by 3 if all patients from 15 to 55 years are treated and by 5 if these age limits are extended to 65 years.Within our model the influence of annual transplantation rate on the five year requirements for chronic dialysis is very limited. This will be even more pronounced if dialysis is extended to older, not transplantable patients. The necessity to expand home dialysis and to decrease the cost of dialysis is emphasized. Without such efforts it might become financially difficult to treat all patients up to 55 or 65 years of age.

ISSN:1784-3286    

DOI:10.1080/17843286.1974.11716930

出版商:Taylor&Francis    

年代:1974

数据来源: Taylor

摘要:

SummaryFrom February 1970 till July 1973, 16 patients aged between 23 and 63 years were trained for home dialysis. Training was performed by two nurses and in facilities separated from the dialysis centre.More than 2400 dialyses have been performed at home, 1/3 through an arteriovenous fistula, 2/3 through a shunt. 2 Patients died, one was transplanted, the 13 others are still on the programme from 2 to 33 months.Medical, social and professional rehabilitation is excellent.Medical supervision includes regular laboratory determinations and monthly outpatient clinic attendance. Hospital technicians are responsible for the maintenance of the home equipment. Every 2 to 4 months the centre nurse visits the patient.Medical, technical and nursing advise is permanently available. Complications or difficulties encountered by the patient at home are analyzed.Requirements to achieve optimal home dialysis are discussed.The low cost of this form of therapy and the quality of medical and social rehabilitation achieved, justify the expansion of home dialysis in Belgium in order to meet the increment in dialysis requirements that can be foreseen for the coming years.

ISSN:1784-3286    

DOI:10.1080/17843286.1974.11716931

出版商:Taylor&Francis    

年代:1974

数据来源: Taylor

摘要:

SummaryIn this paper the following problems are discussed :1. The influence of a pregnancy of the morphology and function of the kidney.2. Some aspects of the water and salt metabolism during pregnancy.3. The role of some renal factors in the pathogenesis of the syndrome of prae-eclampsia. Some controversies about the prophylactic use of salt restriction and diuretics are discussed.4. The occurence and significance of hypertension during pregnancy.5. The problem of the asymptomatic bacteriuria of pregnancy.6. Some aspects of the influence of pregnancy on a preexistant kidney disease.

ISSN:1784-3286    

DOI:10.1080/17843286.1974.11716932

出版商:Taylor&Francis    

年代:1974

数据来源: Taylor

摘要:

SummaryA recent decrease in the frequency and severity of infections caused byP. aeruginosa, which had become the prototype of severe opportunistic infection, can be attributed, in part at least, to the development of new potent antipseudomonal antibiotics.However, prevention of this type of infection by the promotion of a high standard of nursing care and maybe also by the use of antipseudomonal vaccines remains the most important approach to the control of the infections caused byP. aeruginosain the susceptible patients.

ISSN:1784-3286    

DOI:10.1080/17843286.1974.11716933

出版商:Taylor&Francis    

年代:1974

数据来源: Taylor

摘要:

SummaryThe empty sella is due to a cyst-like extension of the subarachnoid space into the sella through a congenital incompletness of the sellar diaphragm. Pneumoencephalogram combined with tomography has shown that in our patient the enlarged sella was not occupied by a tumor but by the intrasellar cisterna. Despite the relative paucity of pituitary endocrine abnormalities, pituitary function should be thoroughly evaluated to exclude early endocrine deficiency.

ISSN:1784-3286    

DOI:10.1080/17843286.1974.11716934

出版商:Taylor&Francis    

年代:1974

数据来源: Taylor

ISSN:1784-3286    

DOI:10.1080/17843286.1974.11716935

出版商:Taylor&Francis    

年代:1974

数据来源: Taylor

ISSN:1784-3286    

DOI:10.1080/17843286.1974.11716936

出版商:Taylor&Francis    

年代:1974

数据来源: Taylor

ISSN:1784-3286    

DOI:10.1080/17843286.1974.11716937

出版商:Taylor&Francis    

年代:1974

数据来源: Taylor