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Calcium carbonate CC
if insurance is issue for pt use which phosphate binder shoudl I use
Lactated ringer and 0.90% NaCl
resusitation choices
D5W
never use what alone
0.45% NaCl and (long D5W)
maintainence choices
hydrochlorothiazide
which thiazide is most commonly used
Triamterene
which has contraindications kidney stones
crystalloid
if its volume related give blood or crystallid?
albumin 5%
albumin 5 or 25% for resusitation
in ER as synthetic colloids
starches are used when
sepsis
dont use starches in what pts
tachycardia and hypotension
symptoms of “dry” oir dehydration
acute
is acute or chronic hyponatremia worse
PKHD1
Autosomal recessive PKD
PKD1 and PKD2
Autosomal dominant PKD
Ethacrynic acid
which loop doesnt have sulfa
Epel, Spirono, tri, amil (ep. stein and renal k+ sparing)
all cause hyperkalemia
thiazide
Na+Cl-, dct
tachycardia and HTN
signs of dehydration
creatnine cl
if on dialysis do not calculate what?
ALB 25%
paracentesis is
Phosphorous
2.5-4.5
calcium
8.5-10.5
potassium K+
3.5-5.5
magnesium
1.5-2.5
sodium Na
135-145
isotonic
275-290
calcitriol and paricalcitriol
already activated vit d
10, 9
start ESA at what rate for male vs. female
lack of vit d, hyperphos, low ca
secondary hyperthyroidism in CKD
-ferols
inactive vit d
periteneal dialysis and CRRT
which dialysis is used for obese pts and which for ICU unstable pts
itching, muscle cramps, hypotension
symptoms of hemodialysis HD
phosphours
dialysis has no effect on
phosphate binders
all given with meals
1500 mg
do not exceed how much elemental ca per day
Sevelemer and lanthum carbonate
non Ca phos binder
sevelemar
what decreases uric acid and helps with Gout
SUCRO
no effecrt on iron parameters
auryxia
increase tsat and ferretin
meat nuts dairy dried beans beer colas
high in phos (foods)
stage 3-4, stage 5
phos greater than 4.5 and greater than 5.5
uric acid
renvela lowers?
inactive (ferol), they still have func kidneys
do we use active or inactive vit d in stage 3+4 ckd pts
stage 5
active vit d for which CKD stage
paricalcitrol
which vit d approved for peds
doxercalciferol
which vit d becomes active in liver
calcitriol
pulse therapy for which vit d
pH
pulse therapy (calcitriol) better for
200 mg
how much iron per day at least
test dose
iron dextran requires
-dustat
pts have been on dialysis for 4 months use these two drugss
10-11
hb should be at
aranesp
how do you increase hemoglobin