The following medications were prescribed for Mrs. Joaquin. Explain why each was prescribed (the indications/mechanism) and describe any nutritional concerns and dietary recommendations related to the medication
What will be an ideal response?
Medication Indications/Mechanism Nutritional Concerns
Capoten/ captopril Antihypertensive (angiotensin-converting enzyme [ACE] inhibitor) • Take on empty stomach
• Take oral Fe or Mg supplement separately by at least 2 hr
• Al-Mg antacids/supplements decrease absorption (take separately)
• Possible anorexia, wt loss
• Limit alcohol
• Metallic or salty taste
• Decreases K excretion; may cause hyperkalemia
Erythropoietin Synthetic hormone that stimulates synthesis of RBC • Increases appetite
• Diet compliance mandatory in CKD
• Increases BP
• GI distress
Sodium bicarbonate Normalize blood pH • High in sodium
• Take Fe supplement separately, 1 hr before or 2 hr after drug
• Increased thirst
• Increased weight (edema)
Renal caps Replace vitamins lost in dialysis • GI irritation
• N/V
• Take after dialysis
Renvela Phosphate binder used in CKD • Low-phosphorus diet
• Nausea
• Dyspepsia
• Diarrhea
• Constipation
• Flatulence
• Severe decrease in GI motility
• Low serum phosphorus, calcium
Hectorol Synthetic vitamin D2 (doxercalciferol); used to treat hypocalcemia in dialysis patients • Do not take with vitamin D or magnesium supplement
• Increases calcium absorption
Glucophage Antihyperglycemic agent (biguanide) • Take with meals
• Nausea/vomiting, bloating
• Diarrhea
• Flatulence
• Avoid alcohol
• Hypoglycemia
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Answer the following statement true (T) or false (F)