A patient has been admitted onto the ward on which you are working today. Mr Smith, who is 65 years old, has been diagnosed with bacterial prostatitis. The doctor has chosen to treat with ciprofloxacin and needs to know the regimen to start Mr Smith on. Mr Smith has suspected renal impairment, so is necessary to calculate his creatinine clearance and consider the information from the SPC excerpt.
You may find the information below useful.
Weight : 55kg
Potassium : 4.2mmol/L
Sodium : 139mmol/L
Urea : 15mg/L
Serum Creatinine : 104 micromol/L
Cockroft Gault equation:
[ X (140-age) x (weight in kg)] / serum creatinine (in micromole/L)
Where X = 1.04 for females and X = 1.23 for males
Creatinine Clearance (mL/min)
Dose
Frequency
>60
400mg
Three times a day
30-59
Twice a day
<>
Once a day
What dose is appropriate total daily dose to recommend Mr Smith? units - mg
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