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Renal / Dialysis

- Dialysis:
    - for hypercatabolic patient early and aggressive dialysis which is instituted before the Cr is > 8-10 and before BUN > 100 improves patient outcome;
    - hemodialysis effciently removes aminoglycosides (50% after 4hrs) and penicillins and cephalosporins;
         - hence drug doses should be given at the end of dialysis

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