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know your nephrology?
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How much do you know about Transplantation?
By Renal Pharmacist Paul O'Brien
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Click the large blue question number to reveal the answer.


How much do you know about Transplantation?

What are the recommended doses for initiation of 'classic' triple immunosuppressant therapy in renal transplant patients? 
       
What are the signs and symptoms in a patient experiencing acute rejection?
     
What are the target levels for cyclosporin and tacrolimus?
       
What are the major side-effects of treatment with mycophenolate? 
       
What drugs potentially interact with cyclosporin?


How much do you know about Continuous Ambulatory Peritoneal Dialysis?

What are the signs and symptoms of CAPD peritonitis?
       
What is the standard treatment for CAPD peritonitis?
     
What is the standard treatment for a fungal CAPD peritonitis?
       
What therapy is routinely recommended for CAPD exit-site infections?
       
What incidence of CAPD peritonitis is considered acceptable?
   
In what type of patient is CAPD the preferred dialysis process?


How much do you know about Haemodialysis?

What dosage reduction is required for a patient with a creatinine clearance of 15 ml/min being treated with gentamicin?
       
What further adjustment is needed when the patient begins regular three-times-a-week haemodialysis?
     
What factors affect clearance of a drug by haemodialysis?
       
What dialysis characteristics affect drug clearance during haemodialysis?
       
What is the target pre-dialysis blood pressure in this population?


How much do you know Drugs and Renal Disease?

What drugs are commonly implicated in being responsible for pre-renal disease?
       
What drugs are implicated in drug-induced intra-renal damage?
     
What agents are suggested to act by a direct toxic effect to cause tubular necrosis, ultimately leading to renal failure?


How much do you know about Managing Renal Failure?

What are the current European Guidelines for the Management of Renal Anaemia?
       
How is calcium/phosphate homeostasis managed in renal failure?
     
What components of renal failure require drug management to control their effects?
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 How to manage the Aggression family.
 
 Reap the benefits of thinking beyond IQ
 
 K/DOQI attempts to make sense of chronic kidney failure
 
 Nurse prescribing needed to meet future demands
 
 Know your Nephrology?
 
 Meals both Patients and their families can enjoy!
 
 UK and Ireland dialysis units database
 
 It's getting easier to fix up Holiday Dialysis
 
 Kidney anatomy animation
 
 Slide library
 
 Glossary of terms
 
 Getting to grips with your dissertation
 
 Clinicians mock-exam questions
 
 How to write a compelling CV
 
 Nurses mock-exam questions
 
 Interview techniques
 
 Helping your patients to eat exotic
 
 Herbs and their use - a database of information
 
 Tips, Tricks and shortcuts
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References:
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1) Smith, T. (1997) Renal Nursing. Bailliere Tindal, London.
2) Bhandari S and Turney J. (1996) Survivors of Acute Renal Failure Who Do Not Recover Function. Quarterly Journal of Medicine. 89: 415 - 421.
3) The Renal Association. (1997) Treatment of Adult Patients With Renal Failure. Recommended Standards and Audit Measures (2nd Ed). The Renal Association, London.