Hemodialysis of acetaminophen in uremic patients.

作者: T.C. Marbury , L.H. Wang , C.S. Lee

DOI: 10.1177/039139888000300506

关键词:

摘要: The effect of the artificial kidney on removal acetaminophen was investigated in 6 chronic hemodialysis patients. Acetaminophen, 650 mg, given orally 2 hrs prior to hemodialysis. Plasma and dialysate samples were collected periodically over 3 hours analyzed by HPLC for content. Dialysis clearance calculated Arterial-venous difference simultaneous measurement. extraction efficiency hollow-fiber dialyzers averaged 47.5%. mean dialysis 112 ml/min measured with blood as body fluid reference confirmed calculation using A 70.5 mg 11% administered dose removed during hour period. beta phase had a half-life 1.6 our patients compared 2.0 reported both normal uremic Despite favorable ratio dialyzer clearance, is not very effective competing liver parent compound because drug's short rapid hepatic metabolism. Hence, patient may need dosage adjustment or following

参考文章(9)
N.R. Farid, J.P. Glynn, D.N.S. Kerr, Haemodialysis in paracetamol self-poisoning. The Lancet. ,vol. 300, pp. 396- 398 ,(1972) , 10.1016/S0140-6736(72)91794-1
GEORGE E. SCHREINER, The Role of Hemodialysis (Artificial Kidney) in Acute Poisoning Archives of Internal Medicine. ,vol. 102, pp. 896- 913 ,(1958) , 10.1001/ARCHINTE.1958.00260230042007
L.F Prescott, P Roscoe, N Wright, S.S Brown, PLASMA-PARACETAMOL HALF-LIFE AND HEPATIC NECROSIS IN PATIENTS WITH PARACETAMOL OVERDOSAGE The Lancet. ,vol. 297, pp. 519- 522 ,(1971) , 10.1016/S0140-6736(71)91125-1
M. D. Rawlins, D. B. Henderson, A. R. Hijab, Pharmacokinetics of paracetamol (acetaminophen) after intravenous and oral administration. European Journal of Clinical Pharmacology. ,vol. 11, pp. 283- 286 ,(1977) , 10.1007/BF00607678
Kenneth S. Albert, Allen J. Sedman, John G. Wagner, Pharmacokinetics of orally administered acetaminophen in man Journal of Pharmacokinetics and Biopharmaceutics. ,vol. 2, pp. 381- 393 ,(1974) , 10.1007/BF01071309
K. S. ALBERT, A. J. SEDMAN, P. WILKINSON, R. G. STOLL, W. J. MURRAY, J. G. WAGNER, Bioavailability studies of acetaminophen and nitrofurantoin. The Journal of Clinical Pharmacology. ,vol. 14, pp. 264- 270 ,(1974) , 10.1002/J.1552-4604.1974.TB02312.X
G Levy, S Oie, D T Lowenthal, W A Briggs, J C Van Stone, Pharmacokinetics of acetaminophen elimination by anephric patients. Journal of Pharmacology and Experimental Therapeutics. ,vol. 196, pp. 570- 578 ,(1976)
L. F. Prescott, The metabolism of phenacetin in patients with renal disease Clinical Pharmacology & Therapeutics. ,vol. 10, pp. 383- 394 ,(1969) , 10.1002/CPT1969103383
L. F. Prescott, M. Sansur, W. Levin, A. H. Conney, The comparative metabolism of phenacetin and N-acetyl-p-aminophenol in man, with particular reference to effects on the kidney Clinical Pharmacology & Therapeutics. ,vol. 9, pp. 605- 614 ,(1968) , 10.1002/CPT196895605