Dialysis and medication administration - page 2
I am a tele RN and frequently work with pts. on hemodialysis. Usually my pts. have a boatload of meds especially antihypertensives, nephrocaps, renagel,etc. I have been a nurse for 1.5 years and... Read More
Mar 20, '09Occupation: Acute Dialysis Specialty: 7 year(s) of experience in 2 yrs as CNS then ortho, psych, nephro ; From: US ; Joined: Mar '09; Posts: 11; Likes: 18There was a new study done in 2008 called the dialysis of drugs 2008 by Curtis a Johnson PharmD of univerity of wisconsin that my acute unit has been using to help the floor nurses with what to give or hold. One of our Medical directors of Nephro says not to hold anything which i dont entirely agree with but here is the website: http://www.ckdinsights.com/downloads...sDrugs2008.pdf
Mar 25, '09Joined: Sep '07; Posts: 594; Likes: 244i know it depends if the med will be dialized (right?) out. if so, not worth it as you understand. so if you actually just call the dialysis techs and/or get in touch with and MD, they can clairfy better for you. just simply ask them what they usually go by. docs are pretty good about explaining why.
Mar 26, '09Specialty: 19 year(s) of experience ; Joined: Dec '07; Posts: 2,366; Likes: 4,417Most HD pts should have all BP meds held before dialysis- not because they will dialyze out but because they will cause the pt's BP to be too low to accomodate sufficient fluid removal during dilalysis. There are exceptions, though.
Mar 28, '09Occupation: staff nurse Specialty: med-surg, dialysis ; From: US ; Joined: Apr '06; Posts: 116; Likes: 41I agree with Valerie Salva's post about bp meds. I have never heard anything regarding diuretics being taken pre or post treatment. Renal vitamins & most oral antibiotics should be taken after dialysis.