• Journal of critical care · Oct 2022

    Review

    Pitfalls and pearls with drug dosing in the critically ill obese patient: 10 statements to guide ICU practitioners.

    • Jeffrey F Barletta and Brian L Erstad.
    • Department of Pharmacy Practice, Midwestern University, College of Pharmacy, Glendale Campus, 19555 N 59th Avenue, Glendale, AZ 85308, United States of America. Electronic address: jbarle@midwestern.edu.
    • J Crit Care. 2022 Oct 1; 71: 154105.

    AbstractObesity is highly prevalent in ICU patients presenting a number of challenges, one of which is drug dosing. There are limited high-quality data describing drug dosing in obesity, which can lead to dosing strategies that are suboptimal. For example, inappropriately using the wrong weight for weight-based dosing can lead to supratherapeutic drug concentrations and an adverse drug event or subtherapeutic drug concentrations and treatment failure. A generalized framework for decision making specific for obese patients is available that describes a step-by-step approach for constructing dosing regimens. This manuscript will build on that framework by providing pitfalls and pearls for clinicians to consider when making dosing decisions in critically ill patients with severe obesity.Copyright © 2022 Elsevier Inc. All rights reserved.

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