CKD/ESKD MEDS (EXAM 3)

Question 1

LOOP DIURETICS

Answer 1

INCREASE URINE OUTPUT
OUTPUT GREATER THAN INTAKE 500-1000/DAY

LOSS OF K

Question 2

PHOSPHATE BINDERS (INSOLUBLE CALCIUM-PHOSPHATE) - INHIBIT GI ABSORPTION

NONCALCIUM - REDUCE BLOOD PHOSPHATE LEVELS W/O DISTURBING CALCIUM (SEVELAMER - RENAGEL, RENVELA)

Answer 2

TAKE WITH MEALS - SLOW ABSORPTION OF PHOSPHORUS

MONITOR PHOS AND CAL, CONSTIPATION

HYPERCALCEMIA, HYPOPHOSPHATEMIA (MUSCLE WEAK, SLOW PULSE, CONFUSE)

Question 3

FOLIC ACID/FOLATE (VB6)

CYANOCOBALAMIN (B12)

Answer 3

TAKE AFTER DIALYSIS - PREVENT REMOVAL OF BLOOD

TAKE IRON W MEALS TO REDUCE NAUSEA

Question 4

ORAL IRON SALTS (FERROUS SULFATE)

Answer 4

TAKE STOOL SOFTENERS WHILE TAKING IRON

IRON CHANGE STOOL COLOR

Question 5

PARENTERAL IRON SALTS (IRON DEXTRAN-IV)

Answer 5

TEST DOSE - ALLERGIES
DO NOT MIX

Question 6

VITAMIN D (CALCITRIOL)

Answer 6

HYPOCALCEMIA

Question 7

ERYTHROPOIETIN-STIMULATING AGENTS (ESAs)

EPOETIN ALFA (EPOGEN, PROCRIT, GENERIC)

Answer 7

PREVENT ANEMIA CAUSED BY KIDNEY DISEASE THRU BONE MARROW

INCREASE BLOOD VISCOSITY - HTN
NOT GIVEN WHEN HEMOGLOBIN LVLS >13

Question 8

PARATHYROID HORMONE MODULATOR

CINACALCET (SENSIPAR)

Answer 8

REDUCE PARATHYROID HORMONE BY DECREASING SENSITIVITY TO CALCIUM

MONITOR CALC AND PHOS
DIARRHEA AND MUSCLE PAIN (MYALGIA)