A patient who is on hemodialysis for chronic kidney disease is prescribed sevelamer hydrochloride (Renagel) with meals. What explanation should be provided to the patient as the primary reason the medication is being given?
a. To prevent metabolic acidosis
b. To prevent gastrointestinal ulcer formation
c. To relieve gastric irritation from excess acid production
d. To prevent damage to bones from high phosphorus levels
ANS: D
Hyperphosphatemia, a phosphorous level above 5 mg/dL, is associated with a low calcium level. These imbalances cause the bones to release calcium, causing patients to be prone to fractures. Sevelamer hydrochloride (Renagel) is a medication that binds with the phosphates in the stool and be eliminated. A. B. C. This medication does not prevent metabolic acidosis, gastrointestinal ulcer formation, or relieve gastric irritation.
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