NUS 210 - Test 3 Renal Meds Flashcards
Drugs to treat hyperkalemia
50% Dextrose and Regular Insulin
Sodium Bicarbonate
Calcium Gluconate or Calcium Chloride
Sodium Polystyrene Sulfonate
Drugs to treat Hyperphosphatemia / Hypocalcemia
Calcium Based Phosphate Binders: Calcium Acetate or Calcium Carbonate
Non Calcium Based Phosphate Binders: Severlamer Carbonate
Calcitriol
Cinacalcet
Drugs to treat Anemia
Erythropoetin (IV, SC)
Darbopoetin Alfa (long acting form, IV)
Folic Acid
Iron Sucrose or Ferric Gluconate
Used to emergently shift potassium out of the intravascular space and into intracellular space
50% Dextrose and Regular Insulin
Corrects acidosis associated with kidney injury, this correction shifts potassium from intravascular space to intracellular space
Sodium Bicarbonate
Protects the heart from effects of hyperkalemia until potassium level can be reduced
Calcium Gluconate or Calcium Chloride
Exchanges potassium for sodium in the resin and potassium is excreted with stool
Sodium Polystyrene Sulfonate
Binds phosphate in the intestine and prevents absorption to decrease phosphate levels and increase serum calcium levels
Calcium Based Phosphate Binders: Calcium Acetate or Calcium Carbonate
OR
Non Calcium Based Phosphate Binders: Severlamer Carbonate
Activates Vitamin D to increase serum calcium absorption from intestine
Calcitriol
Treats hyperparathyroidism in CKD by preventing parathyroid hormone secretion, results in less calcium reabsorption from bone. Also treats renal osteodystrophy.
Cinacalcet
Stimulates production of RBC’s to treat anemia associated with chronic kidney disease
Erythropoetin (IV, SC)
Darbopoetin Alfa (long acting form, IV)
Needed to produce RBC’s
Folic Acid
Iron Sucrose or Ferric Gluconate
These meds should be taken with or before meals and pt should be monitored for constipation
Calcium Based Phosphate Binders: Calcium Acetate or Calcium Carbonate
OR
Non Calcium Based Phosphate Binders: Severlamer Carbonate