Kidney function | GFR | Dose rates |
---|---|---|
Augmenteda | CG-CLCR, > 120 ml/min | 2 g every 6 h, 3-h infusion |
Normal | MDRD-eGFR, 90–120 ml/min/1.73 m2 | 2 g every 8 h, 3-h infusion |
Mildly compromised | MDRD-eGFR, 60–90 ml/min/1.73 m2 | 2 g every 8 h, 3-h infusion |
Moderately compromised | MDRD-eGFR, 30–60 ml/min/1.73 m2 | 1.5 g every 8 h, 3-h infusion |
Critically compromised | MDRD-eGFR, 15–30 ml/min/1.73 m2 | 1 g every 8 h, 3-h infusion |
End-stage renal disease | MDRD-eGFR, < 15 ml/min/1.73 m2 | 0.75 g every 12 h, 3-h infusion |
Intermittent dialysis required | 0.75 g every 12 h, 3-h infusion, (3rd) supplementary dose 0.75 g after hemodialysis (during hemodialysis days) | |
CRRT required | Dosed according effluent rate: | |
◦ ≤ 2 l/h | ⇒ 1.5 g every 12 h | |
◦ 2.1–3 l/h | ⇒ 2 g every 12 h | |
◦ 3.1–4 l/h | ⇒ 1.5 g every 8 h | |
◦ ≥4.1 l/h | ⇒ 2 g every 8 h |