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33 Cards in this Set
- Front
- Back
Drugs causing acute renal failure PreRENAL
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ACEi, ARBs, COX2i, Cyclosporine, diuretics, NSAIDS, Radiocontrast dye, Tacrolimus
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Drugs causing Glomerular disease
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Lithium, Gold, NSAIDS, Phenytoin,
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Acute Tubular Necrosis
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Aminoglycosides, AmphoB,
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Obstructive disease
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Acyclovir, Methotrexate, Oxalate, sulfonamides, uric acid
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Nephrolithiasis
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Allopurinol, indinavir, sulfadiazine, Triamterene
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ACEi / ARBs prevent vasocontriction of efferent arterioles
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NSAIDS and COX2i inhibit vasodilation of afferent arteriole
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Can give acetylecycteine to attempt avoiding radiocontrast induced renal failure
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Mucomyst 600mg BID x 2 days
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Drug tx for acute kidney disease
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LOOPS, Mannitol, Thiazides, dopamine low dose
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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)
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Iron deficiency
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Microcytic Anemia
RBC low MCV low < 80 Iron Low, TIBC <250, TSat<16 Ferritin <12 |
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Folate and Vit B12 deficiency
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Macrocytic anemia
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Epoetin alfa
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Epogen, Procrit
SQ or IV 50-100U / KG TIW Goal of Hb>12 Titrate at 2-4weeks |
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Darbepoetin alfa
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Aranesp
SQ or IV 0.45mcg/kg weekly Goa of Hb>12 |
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Iron dextran
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InFeD, Dexferrum
25-1000mg IV Q TIW, W, Monthly Give 25mg test dose for anaphylaxis screening Give IV push |
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Iron Sucrose
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Venofer
20-200mg IV Q TIW, W, Monthly Give in NS |
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Sodium Ferric Gluconate
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Ferrlecit
62.5-125mg IV Q TIW, W,Monthly Can Give IV push or mix in NS |
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Ferrous Sulfate
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Fer-In-Sol
Feosol Slow FE 20% elemental iron Goal 200mg elemental iron per day. take without food unless GI issues |
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Ferrous fumarate
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Fermiron, Viton-C
33% elemental iron |
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Ferrous Gluconate
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Fergon
11% elemental iron |
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Calcium Carbonate for binding phosphate
40% el Calcium |
TUMS, OsCal500, Caltrate, CalCarb
*can cause hypercalcemia |
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Calcium Acetate
25% el Calcium |
Phos-Lo 1334-2001mg
*can cause hypercalcemia |
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Sevelamer
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Renagel
800-1600mg *lowers LDL raises HDL can cause metabolic acidosis |
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Lanthanum carbonate
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Fosrenol
250-500mg |
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Aluminum hydroxide
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AlternaGel, Amphojel, Alu-Cap, Alu-tab
300-600mg Avoid longterm use |
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Magnesium Carbonate
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Mag-Carb
70mg avoid longterm use |
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Magnesium Hydroxide MOM
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300-400mg
avoid longterm use |
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Ergocalciferol
Vit D precursor requires hydroxylation by liver and then kidney to form active Vit D |
Drisdol PO
Calciferol PO, IV |
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Calcitrol
Active Vit D |
Calcijex (IV) TIW
Rocaltrol (PO) QD, QOD, TIW |
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Paricalcitol
Doxercalciferol Vitamin D analogs |
Zemplar 1-4mcg PO QD, TIW
2.5-15mcg IV TIW Hectorol IV or PO TIW |
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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 |
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Vit B complex, Vit C, Folic acid
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Nephrocaps, Nephrovite
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Vitamin B Complex
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Allbee with C
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Peritonitis tx
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Staph epi, Staph aureus
1st gen ceph Pseudomonas, enterobacter Ceftaz, AMG |