Renal and hepatic dose adjustment OSCE — child with CKD, a high-risk antibiotic and family counselling

Candidate brief

You have 10 minutes. ^{[1] [5]}

1. Calculate the child's estimated GFR using the bedside Schwartz equation and state the KDIGO category. ^{[1] [4]}
2. Decide how to adjust the antibiotic dose for her renal function, including the loading dose and the maintenance strategy. ^[5]
3. Interpret the drug level and state your next action. ^[7]
4. Explain the non-standard dose to her mother in language she can repeat back. ^[5]