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학습 자료 둘러보기 →The priority for older adults with chronic kidney disease is to monitor for drug toxicity and adjust doses based on renal function. Age-related decline in glomerular filtration rate combined with CKD drastically reduces drug clearance, leading to accumulation.
Nursing actions include reviewing recent BUN and creatinine levels before administering medications, and watching for subtle signs of toxicity such as new-onset confusion, sedation, or gastrointestinal upset. Dosing intervals often need to be extended, not just reduced in amount.
Do not rely on standard adult dosing. A "start low, go slow" approach is critical, but in CKD, the focus must also be on adjusting frequency to prevent drug accumulation from prolonged half-life.
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