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Renal Failure
Meds, Treatment
15
Nursing
Undergraduate 2
06/06/2011

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Cards

Term
Oliguric Stage: Medications
Definition
-IV fluids and expanders
-dopamine (low dose)
-HTN management (ace inhibitors, etc.)
-eliminate nephrotoxic drugs (NSAIDS, antibiotics)
-Antacids, H2 Blockers (pepcid, tagamet)
-proton pump inhibitors (prilosec)
-diuretics (lasix, bumex) help wake up kidneys
-kayexelate (hyperkalemia)
-emergent: insulin, glucose, calcium chloride, bicarb IVP
Term
End Stage Renal Disease: Med Management
Definition
-electrolyte management
-iron supplements
-dialysis
Term
End Stage Renal Disease: Diet
Definition
high carb
low protein
Term
Cyclosporine: Class, Action
Definition
-immunosuppresant
-prevents t cell fighter cells from attacking the new organ with kidney replacement
Term
Cytoxics: Class, Action
Definition
-immunosuppressant
-disrupts the division of cells
Term
Cytoxics: 2
Definition
Imuran
Cellcept

(usually given in combination of cyclosporin and steroid)
Term
Corticosteroids (2)
Definition
Prednisone
Deltasone
Term
Corticosteroids: Use
Definition
-immunosuppression in transplant patients

-high doses, immediately, vary with tx centers
Term
CAPD
Definition
-continuous ambulatory peritoneal dialysis
-done every day at own home
Term
CRRT
Definition
-continual renal replacement therapy
-100ml/h for 24h continuous dialysis, patient cannot tolerate any quicker
-circuitry can last 72h max, can clog
Term
Baxter Nigh Cycler
Definition
-catheter is hooked up to machine
-done at night, every night
Term
Epogen: Use, Route
Definition
-erythropoetin injections
-treats chronic anemia in end stage renal disease patients
-given on dialysis days (IV, SubQ)
Term
Procrit: Use, Route
Definition
-erythropoetin injections
-treats chronic anemia in end stage renal disease patients
-given on dialysis days (IV, SubQ)
Term
Epogen/Procrit: SE, Dose
Definition
-HTN
-injection site irritation

-50-100 u/kg per dose
-titrated by Hgb levels >10-12 avg
Term
Cyclosporine: SE
Definition
-tremor
-HTN
-kidney damage
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