作者: Balthasar L. Hug , Christian Surber , David W. Bates
DOI: 10.1097/PTS.0B013E3182482DF2
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摘要: ABSTRACT: Cirrhosis and chronic liver disease are common illnesses that cause high mortality require treatment. Medication use in these patients may be challenging because of idiosyncratic or dose-dependent drug toxicity. Therefore, choice dose adaptations play an important role. The objective this clinical review is to discuss the literature about challenges with disease.To make good decisions regarding adjustments patients, well-defined information diagnoses laboratory results (creatinine, international normalized ratio, bilirubin, serologies) as well some instances, pathological findings like biopsies needed. In a second step, data should organized electronically supported decision systems, which can then assist providers making choices medication selection dosage.In summary, although substantial research has been done field dysfunction, great deal also remains learned. Although many now identified, it still very difficult assess their individual level hepatic function. degree risk associated how best medications represents area for further study. future, pharmacogenomics electronic linking prove helpful optimal complex group patients.