Renal Pharm Flashcards
What ist he treatment for anemia in chronic kidney disease?
Epoetin – IV or subcut
What are the side effects of epoetin?
nausea headache influenza HTN Thrombosis of arteriovenous shunts
How do you treat secondary hyperparathyroidism in chronic kidney disease?
calcitriol and vitamin D analogs
What is the mechanism of action of calcium and vitamin D analogs?
enhancement of absorption of calcium and PO4 from intestine
What are the unwanted effects of calcitriol?
excessive dosing leads to hypercalcemia
What are phophate binders?
calcium carbonate
calcium acetate
lanthanum carbonate
seelamer
What is the biphosphonates used for?
prophosphate analogues that bind to hydroxyapatitie crstals in bone matrix to treat hypercalcemia
What are the unwanted side effects of bisphosphonates?
GI disturbance, abdominal pain, nausea
osteonecrosis of jaw
What is calcitonin?
produced by parafollicular or C cells of thyroid gland
secreted when calcium levels rise
main action is lowering of plasma calcium by limiting bone resorption and increases phosphate secretions
What are the side effecs fo calcitonin?
facial flushing
headache
GI
Taste disturbance
What is rasburicase used to treat?
recombinant version of enzyme urate oxidase
used as prophylaxis during chemo
What are the unwanted side effects of rasburicase?
fever
nausea
HSN
hemolysis-due to hydrogen peroxide
What are calcineurin inhibitors used to treat?
decrease T cella ctivationa nd proliferation, to lower immune reaction or prevent organ rejection
What is the mechanism of action of tacrolimus?
macrolide that bind to and inhibit calcinuerin; inhibits transcripton of cytokines and IL2
What are the side effects of cyclosporine?
nephrotoxicity HTN and fluid rentetion hepatic dysfunction tremor, headache, fatigue GI hypertrichosis Gum hhypertrophy hyperlipidemia hypomagnesia hypokalemia