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33 Cards in this Set

  • Front
  • Back
Drugs causing acute renal failure PreRENAL
ACEi, ARBs, COX2i, Cyclosporine, diuretics, NSAIDS, Radiocontrast dye, Tacrolimus
Drugs causing Glomerular disease
Lithium, Gold, NSAIDS, Phenytoin,
Acute Tubular Necrosis
Aminoglycosides, AmphoB,
Obstructive disease
Acyclovir, Methotrexate, Oxalate, sulfonamides, uric acid
Nephrolithiasis
Allopurinol, indinavir, sulfadiazine, Triamterene
ACEi / ARBs prevent vasocontriction of efferent arterioles
NSAIDS and COX2i inhibit vasodilation of afferent arteriole
Can give acetylecycteine to attempt avoiding radiocontrast induced renal failure
Mucomyst 600mg BID x 2 days
Drug tx for acute kidney disease
LOOPS, Mannitol, Thiazides, dopamine low dose
Stage 1 GFR >90
Stage 2 GFR 60-89
Stage 3 GFR 30-59
Stage 4 GFR 15-29
Stage 5 <15 or dialysis
anion gap = [Na]- (Cl+HCO3)
Iron deficiency
Microcytic Anemia
RBC low
MCV low < 80
Iron Low, TIBC <250, TSat<16
Ferritin <12
Folate and Vit B12 deficiency
Macrocytic anemia
Epoetin alfa
Epogen, Procrit
SQ or IV
50-100U / KG TIW
Goal of Hb>12
Titrate at 2-4weeks
Darbepoetin alfa
Aranesp
SQ or IV
0.45mcg/kg weekly
Goa of Hb>12
Iron dextran
InFeD, Dexferrum
25-1000mg IV Q TIW, W, Monthly
Give 25mg test dose for anaphylaxis screening
Give IV push
Iron Sucrose
Venofer
20-200mg IV Q TIW, W, Monthly
Give in NS
Sodium Ferric Gluconate
Ferrlecit
62.5-125mg IV Q TIW, W,Monthly
Can Give IV push or mix in NS
Ferrous Sulfate
Fer-In-Sol
Feosol
Slow FE
20% elemental iron
Goal 200mg elemental iron per day.
take without food unless GI issues
Ferrous fumarate
Fermiron, Viton-C
33% elemental iron
Ferrous Gluconate
Fergon
11% elemental iron
Calcium Carbonate for binding phosphate
40% el Calcium
TUMS, OsCal500, Caltrate, CalCarb
*can cause hypercalcemia
Calcium Acetate
25% el Calcium
Phos-Lo 1334-2001mg
*can cause hypercalcemia
Sevelamer
Renagel
800-1600mg
*lowers LDL raises HDL
can cause metabolic acidosis
Lanthanum carbonate
Fosrenol
250-500mg
Aluminum hydroxide
AlternaGel, Amphojel, Alu-Cap, Alu-tab
300-600mg
Avoid longterm use
Magnesium Carbonate
Mag-Carb
70mg
avoid longterm use
Magnesium Hydroxide MOM
300-400mg
avoid longterm use
Ergocalciferol
Vit D precursor
requires hydroxylation by liver and then kidney to form active Vit D
Drisdol PO
Calciferol PO, IV
Calcitrol
Active Vit D
Calcijex (IV) TIW
Rocaltrol (PO) QD, QOD, TIW
Paricalcitol

Doxercalciferol

Vitamin D analogs
Zemplar 1-4mcg PO QD, TIW
2.5-15mcg IV TIW

Hectorol IV or PO TIW
Cinacalcet
Calcimimetics for pts with stage 5 CKD on dialysis
MOA binds to the caclcium sensing receptor on parathyroid gland increasing CA sensitivity for increasing PTH secretion
Sensipar
30-180mg PO daily
Titrate 2-4 weeks based on iPTH levels
Vit B complex, Vit C, Folic acid
Nephrocaps, Nephrovite
Vitamin B Complex
Allbee with C
Peritonitis tx
Staph epi, Staph aureus
1st gen ceph
Pseudomonas, enterobacter
Ceftaz, AMG