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The Importance of Diagnosis in Patients With Renal Insufficiency
When we think about patient populations who we wouldn't give us some of this stuff too so obviously as you said someone with poor liver function we might reduce the dose of tunnel if it was bad enough. For older patients we might not use gabapentin especially if we're worried about post-opdilirium and excessive somnolence. Usually ketamine is okay and those patients hydromorphone fatnyl is usually okay. Uncatamine, conwerson can accumulate with renal dysfunction but it's very rare.