{"id":4803,"date":"2018-11-02T22:49:15","date_gmt":"2018-11-02T22:49:15","guid":{"rendered":"https:\/\/www.cgs-cls.cz\/?page_id=4803"},"modified":"2022-11-16T17:50:32","modified_gmt":"2022-11-16T16:50:32","slug":"pozor-renalni-funkce-lmwh","status":"publish","type":"page","link":"https:\/\/www.cgs-cls.cz\/antitromboticka-terapie-a-endoskopicky-vykon\/pozor-renalni-funkce-lmwh\/","title":{"rendered":"Pozor ren\u00e1ln\u00ed funkce! (LMWH)"},"content":{"rendered":"
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Pod\u00e1v\u00e1n\u00ed n\u00edzkomolekul\u00e1rn\u00edho heparinu s ohledem na ren\u00e1ln\u00ed funkce<\/strong><\/p>\n\n\n\n\n\n\n\n
GF (ml\/min)<\/a><\/b><\/td>\n(\u00fadaje pro enoxaparin)<\/td>\n<\/tr>\n
<15<\/strong><\/td>\npod\u00e1v\u00e1n\u00ed nen\u00ed doporu\u010deno<\/b> (krom\u011b zaji\u0161t\u011bn\u00ed hemodial\u00fdzy), mo\u017eno UFH<\/strong>1<\/sup><\/td>\n<\/tr>\n
15-30<\/strong><\/td>\npod\u00e1v\u00e1n\u00ed jednou denn\u011b<\/b> (profylaxe 2000 IU, terapie 100IU\/kg), alternativa UFH<\/strong>1<\/sup><\/td>\n<\/tr>\n
30-50<\/strong><\/td>\nvhodn\u00e9 monitorov\u00e1n\u00ed<\/b> (anti Xa)<\/td>\n<\/tr>\n
> 50<\/strong><\/td>\nstandardn\u00ed d\u00e1vkov\u00e1n\u00ed<\/strong>, monitorov\u00e1n\u00ed vhodn\u00e9 p\u0159i extr\u00e9mn\u00ed hmotnosti2<\/sup> a v\u011bku3<\/sup><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<\/div>\n
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1<\/sup>UFH p\u0159eru\u0161it 4 hodiny p\u0159ed v\u00fdkonem, nasadit zp\u011bt \u226524 hodin po v\u00fdkonu
\n2<\/sup><cca 50 kg, t\u011b\u017ek\u00e1 obezita
\n3<\/sup>d\u011bti, > 80 let (terapeutick\u00e9 d\u00e1vky)<\/div>\n

Literatura: S\u00daKL. Clexane. SPC – Souhrn \u00fadaj\u016f o p\u0159\u00edpravku.
\nZp\u011btn\u00e1 vazba: jiri.cyrany@fnhk.cz<\/a><\/em>
\nSeznam zkratek: GF – glomerul\u00e1rn\u00ed filtrace; UFH – nefrakcionovan\u00fd heparin, BMI – body mass index<\/em><\/small><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Pod\u00e1v\u00e1n\u00ed n\u00edzkomolekul\u00e1rn\u00edho heparinu s ohledem na ren\u00e1ln\u00ed funkce GF (ml\/min) (\u00fadaje pro enoxaparin) <15 pod\u00e1v\u00e1n\u00ed nen\u00ed doporu\u010deno (krom\u011b zaji\u0161t\u011bn\u00ed hemodial\u00fdzy), mo\u017eno UFH1 15-30 pod\u00e1v\u00e1n\u00ed jednou denn\u011b (profylaxe 2000 IU, terapie 100IU\/kg), alternativa UFH1 30-50 vhodn\u00e9 monitorov\u00e1n\u00ed (anti Xa) > 50 standardn\u00ed d\u00e1vkov\u00e1n\u00ed, monitorov\u00e1n\u00ed vhodn\u00e9 p\u0159i extr\u00e9mn\u00ed hmotnosti2 a v\u011bku3 1UFH p\u0159eru\u0161it 4 hodiny p\u0159ed v\u00fdkonem, nasadit […]<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":4783,"menu_order":2,"ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-4803","page","type-page","status-publish","hentry"],"acf":[],"lang":"cs","translations":{"cs":4803},"pll_sync_post":[],"_links":{"self":[{"href":"https:\/\/www.cgs-cls.cz\/api\/wp\/v2\/pages\/4803","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.cgs-cls.cz\/api\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.cgs-cls.cz\/api\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.cgs-cls.cz\/api\/wp\/v2\/users\/1"}],"version-history":[{"count":20,"href":"https:\/\/www.cgs-cls.cz\/api\/wp\/v2\/pages\/4803\/revisions"}],"predecessor-version":[{"id":7438,"href":"https:\/\/www.cgs-cls.cz\/api\/wp\/v2\/pages\/4803\/revisions\/7438"}],"up":[{"embeddable":true,"href":"https:\/\/www.cgs-cls.cz\/api\/wp\/v2\/pages\/4783"}],"wp:attachment":[{"href":"https:\/\/www.cgs-cls.cz\/api\/wp\/v2\/media?parent=4803"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}