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2. 18. 160mg 80mg/80mls 80mg/80mls bag 2. 19. 240mg 240mg/80mls bag 2. 20. 320mg 240mg 80mg/80mls bag 2. 2. 8. Remember eGFR over estimates the true GFR in AKI patients. In evolving AKI please see paragraph 2. 5. 5. Use the summary table below to guide your decision making on dose adjustment. eGRF 60mls/min or AKI 1mg/l Continue therapy 1mg/l 2mg/l 2mg/l Reduce dose but give at the next scheduled time. 40 240mg 160mg 154. 94 157. 48 160. 02 320mg 162. 56 165. 10 167. 64 170. 18 172. 72 360mg...

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