Renal Disease

Question 1

Tx of Anemia

Answer 1

Epogen, Procrit AND Iron

Question 2

Tx of Hyperphosphatemia

Answer 2

Phoslo, Cholera (Calcium Carbonate) OR Tums

Question 3

Tx of Hyperparathyroidism

Answer 3

Calcitriol (Rocaltrol)

Question 4

Tx of Hyperkalemia

Answer 4

1) IV Calcium to stabilize heart
2) Dextrose + Insulin to drive K into cells
3) Consider B agonist for tachycardia
4) Loop Diuretics to remove K from body
5) Kayexelate (Sodium Polystyrene) in extreme cases given rectally

Question 5

Metabolic Acidosis

Answer 5

Sodium Bicarb or Sodium Citrate (Bicitra)

Question 6

Drugs that need renal dosing

Answer 6

Amino glycosides, macrocodes, Quinolones, Statins, SMX/TMP, Tramadol, Azole’s, PCN’s