Description
As part of the MAIA consortium, CATAG has developed the MAIA toolkit for guiding the safe use of medicines in reduced kidney function. This toolkit will assist Medicines and Therapeutic Advisory Committees to support the implementation of local stewardship around the need for dosage adjustments in reduced renal function and promote effective patient-centred education at discharge.
This toolkit consists of:
- Medicines and the kidney practice tool for Medicines and Therapeutics Advisory Committees
- Medicines and the kidney teaching tool for educators.
Key messages
- Medicine dosage adjustments in people with reduced kidney function should be anticipated at the point of prescribing. This consideration takes into account the clinical situation of the person, including trends, rather than rigid calculations based on reported numbers alone.
- Educate people with reduced kidney function, and their carers, about their diagnosis and the possible need for medicine dosage.
- Provide a complete and accurate discharge summary to guide ongoing treatment and care for people whose renal function has declined during hospitalisation.
- Medicines and Therapeutics Advisory Committees should endorse and implement:
- Local protocols for the estimation of kidney function and application to medicine dosage adjustments.
- Local guidance for standards of communication at transitions of care when reduced kidney function has been identified.