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are the following meds contraindicated for a patient who is being dialyzed 3x/week?
1. TUMS every 4 hours prn?
2. Kaopectate 30 cc prn, not to exceed 5 doses in 24 hours?
for dietary restrictions, is milk contraindicated?
Thank you very much.
Tums can be used as a binder, it binds with phosphorus to be gotten rid of in the stool, if it is being used as a binder it is not PRN, it is with meals, if you give it at any other time it does not act as a binder and will increase calcium levels. You don't mention what the patients calcium level is but: if it is low they may be using it to raise the level so, if given with meals it will act as a binder and will not raise calcium. It is better to give it between meals or at bedtime if you are trying to raise the calcium level. This is not the norm for dialysis patients but it can happen.
Milk is OK but there is a limit of usually 1/2 glass a day, again it will depend on the calcium levels. The unit that the patient dialyzes at will have the labs. They are usually drawn at the least every month but can be every week so give them a call. www.davita.com is a great resouce tool to get current information regarding chronic kidney disease and end stage renal disease.