Folia Medica Indonesiana
ISSN 0303-7932
Vol. 50 / No. 4 / Published : 2014-10
Order : 5, and page :226 - 233
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Original Article :
Evaluation of renal function in cervix cancer patients by dose cisplatin 75 mg/m2 with nacl-manitol hydration
Author :
- Intan Sari Dewi*1
- Yulistiani*2
- Heru Santoso*3
- Muhammad Yahya*4
- Mahasiswa Fakultas Farmasi
- Dosen Fakultas Farmasi
- Dosen Fakultas Kedokteran
- Clinical Pharmacist, Departement of Pharmacy, Dr. Soetomo Hospital Surabaya
Abstract :
Cisplatin is one of platinum cytostatic drug for the medication of solid cancers, one of which is cervical cancer. Adverse event thatresulted during drug treatment was acute or chronic nephrotoxicity. A cross sectional, prospective, observational study wasconducted to evaluate the effect of NaCl-Mannitol hydration on urine production and renal function of cervical cancer patientsreceiving cisplatin 75mg/m2. Inclusion criteria were 21 pastients eClCr Cockroft Gault > 60 ml/min of any cycle, receiving 1 L ofNaCl hydration pre chemoteraphy and 1 L of NaCl plus 30 g Mannitol, 20 mEq KCl, and 1 g MgSO4 for post chemoteraphy. Dataobtained were BUN, SrCr, albumin and eClCr calculation (MDRD and Cockroft Gault), each was measured pre and day six posttreatment. Urine production was measured before chemotherapy and 3 and 12 hours post chemoteraphy hydration. Urine productionof total 21 inpatients had reached > 100 mL/hour at 3rd hour post chemotherapy. There were 8 patients (39%) who experiencedacute nephrotoxicity characterized by an increase of serum creatinine by 1.5 times from the baseline. (FMI 2014;50:226-233)
Keyword :
Cisplatin, hydration, renal impairment, serum creatinine, eClCr,
References :
Arany I, Safirstein RL,(2003) Cisplatin nephrotoxicity 23, 460–464 : Seminars in Nephrology
Miller RP, Tadagavadi RK, Ramesh G, Reeves WB ,(2010) Mechanisms of cisplatin nephrotoxicity 2, 2490-2518 : Toxins (Basel)
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Volume : 50 / No. : 4 / Pub. : 2014-10 |
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