Antiretroviral Agents in HIV-1 (2014)

DHHS Adult HIV 2014

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7 Table 3. Creatinine Clearance Calculation Male: (140 - age in years) × (weight in kg ) ÷ (72 × serum creatinine) Female: (140 - age in years) × (weight in kg ) × (0.85) ÷ (72 × serum creatinine) Table 4. Child-Pugh Score Component Points Scored 1 2 3 Encephalopathy a None Grade 1-2 Grade 3-4 Ascites None Mild or controlled by diuretics Moderate or refractory despite diuretics Albumin >3.5 g/dL 2.8-3.5 g/dL <2.8 g/dL Total bilirubin OR <2 mg/dL (<34 μmol/L) 2-3 mg/dL (34 μmol/L to 50 μmol/L) >3 mg/dL (>50 μmol/L) Modified total bilirubin b <4 mg/dL 4-7 mg/dL >7 mg/dL Prothrombin time (seconds prolonged) or <4 4-6 >6 International normalized ratio (INR) <1.7 1.7-2.3 >2.3 a Encephalopathy Grades Grade 1: Mild confusion, anxiety, restlessness, fine tremor, slowed coordination Grade 2: Drowsiness, disorientation, asterixis Grade 3: Somnolent but rousable, marked confusion, incomprehensible speech, incontinence, hyperventilation Grade 4: Coma, decerebrate posturing, flaccidity b Modified total bilirubin used for patients who have Gilbert's syndrome or who are taking indinavir or atazanavir Child-Pugh Classification Total Child-Pugh Score Class A 5-6 points Class B 7-9 points Class C >9 points

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