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Doctor insights on: Dialysis Patient Medication List

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Any selective beta blocker alternatives to metoprolol xr for diabetic patients? Also on lasix (furosemide) that causes hyperglycemia and ototoxicity? Alternatives to ask cardiologist? Any non-nsaid antiplatelet (non- aspirin 81 mg) for ckd patient?

Any selective beta blocker alternatives to metoprolol xr for diabetic patients? Also on lasix (furosemide) that causes hyperglycemia and ototoxicity? Alternatives to ask cardiologist? Any non-nsaid antiplatelet (non- aspirin 81 mg) for ckd patient?

Discuss with your MD: Metroprololxr is a good beta blocker&is very well tolerated.There are other options but they are all have same action and side effects.Only Carvedilol is different as it is both alpha and beta blockerLasix is well tolerated. Can be ototoxic in high doses and if combined with other ototoxic drugs . Ototoxicity is rare. Aspirin is safe asking as no contraindications . Discuss your concerns with MD ...Read more

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Dr. Quresh Khairullah
524 doctors shared insights

Dialysis (Definition)

Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more


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Is continuos medication required for congestive heart failure patients?

Is continuos medication required for congestive heart failure patients?

Depends: Usually, CHF pts will need to be treated daily for life but there are exceptions depending on the cause of the chf, the severity of the symptoms, and whther there were extraneous factors that caused a flare of symptoms. Please note: if this is about you, chewing tobacco is very dangerous in the presence of CHF (can precipitate dangerous arrhythmias). ...Read more

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What BP medication is best for compromised kidney patient?

What BP medication is best for compromised kidney patient?

It depends: In severe kidney damage the ace inhibitors and arbs can cause dangerous rise in potassium levels but in earlier disease when you have mainly protein in the urine they are the best. Drugs for late stages would be calcium and beta blockers and diuretics. ...Read more

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What if transplant patient forgets to take anti rejection drugs?

What if transplant patient forgets to take anti rejection drugs?

Rejection: The recipient's immune system will attack the transplanted organ and it will suffer an rejection. It may take weeks to months before the non-compliant patients start to have symptoms or signs of kidney failure. ...Read more

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What renal dialysis effect while patients on post obstructive diressis?

What renal dialysis effect while patients on   post obstructive diressis?

P-obstruct. diuresis: In majority, functional recovery in usually seen in the first week to ten days after obstruction is relieved. If severe renal failure is present, dialysis may be indicated, even after complete resolution of the obstruction. Dialysis may be required for a few weeks. In these cases complete functional improvement may not take place. ...Read more

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Names of most suitable ssri antidepressant needed for multiinfarct stroke dementia patient, 67, with minor congestive heart failure, atrial fibrillation, diabetes. Dosage and duration info appreciated.

Names of most suitable ssri antidepressant needed for multiinfarct stroke dementia patient, 67, with minor congestive heart failure, atrial fibrillation, diabetes. Dosage and duration info appreciated.

SSRIs: There is some evidence that ssris help with post stroke remodeling where the brain works on regrowing connections between brain areas that were not killed by the stroke. There is also evidence they help prevent post stroke depression that is very common. Not much reason to think one ssri is better than another. See your prescriber for specific dosage recommendations. ...Read more

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Can parenteral amiboacid be given post dialysis to a CKD patient?

Can parenteral amiboacid be given post dialysis to a CKD patient?

Yes: Yes, Amino Acids can be given on dialysis. Unfortunately medicare will not cover it. Usually it is reserved for patient's with a low albumin. There is not good data about improving outcomes other than Albumin levels. ...Read more

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What problems administering alupent (metaproterenol) to diabetes patient?

What problems administering alupent (metaproterenol) to diabetes patient?

Difficult to answer: I do not think Alupent (metaproterenol) is really available any more. But the problem with Alupent (metaproterenol) and diabetes patients is that it could either exacerbate or mask problems of blood sugar reactions. There is not direct problem with the drug and diabetes to my knowledge. It is an old drug that has really been taken over by albuterol which is given to diabetics without that warning. ...Read more

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Can taking water pills benefit end stage renal patient on dialysis?

Can taking water pills benefit end stage renal patient on dialysis?

Not on the internet: Never if not prescribed by a professional that is treating the problem and knows the exact history, physical exam, and current medication list. ...Read more

Dr. Ted King Dr. King
1 doctor agreed:
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Signed up for phlebotomy classes. Would patient care technician or dialysis be better?

Dr. Ted King Dr. King
1 doctor agreed:

Up to you: It all depends on where your interests lie and what you like to do best. The only person who can really answer your question for you is you. ...Read more

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Is it possible for a chronic kidney stage 5 patient to prolong dialysis and kidney transplant by just specialised medication and strict diet?

Is it possible for a chronic kidney stage 5 patient to prolong dialysis and kidney transplant by just specialised medication and strict diet?

Yes: Yes; an appropriate (but relatively strict) diet would have to be adhered to as recommended by your nephrologist. Exercise and hydration are equally important. Stage v renal disease, however is near " end-stage" and will likely progress into renal failure at some time. Peritoneal dialysis is an extremely appropriate, and oftentimes under used/recommended option, especially for younger patients l. ...Read more

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What are the dietary guidelines for post liver transplant patients?

What are the dietary guidelines for post liver transplant patients?

Moderation: A generally healthy diet is most important. Unless a specific genetic disease is present, most recipients should try to follow an overall moderate diet that is not typically american and not too rich in carbohydrates and fats. But with a new, healthy liver, there are no specific restrictions. ...Read more

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Renal transplant patient on immunosuppressives has a cold. What are some ways to treat this patient?

Similar: To non immunosuppressed patients, but the immunosuppressive doses may need to be reduced. ...Read more

Dr. Alan Ali Dr. Ali
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A patient on chronic mao inhibitor's given sublingual nifedipine for hypertensive emergencies (never used in medicine!). Opinions?

Dr. Alan Ali Dr. Ali
14 doctors agreed:
A patient on chronic mao inhibitor's given sublingual nifedipine for hypertensive emergencies (never used in medicine!). Opinions?

Procardia/MAOi's: Both can have additive effects on lowering blood pressure, leading to dizziness, headaches, lightheadedness & fainting. This mostly happens at start of tx or when dose increased. ...Read more

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Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?

Depends : Very low blood pressure sometimes hurts kidney function. The need for dialysis in the acute hospital setting is determined by complications of poor kidney function. Your physician can help explain this in the context of the specific patient. ...Read more

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Patient controlled years with UC without flares on Asacol (mesalamine).Now, Insurance won't pay unless patient fails trial of generic balsalazide.Refer back to GI?

Patient controlled years with UC without flares on Asacol (mesalamine).Now, Insurance won't pay unless patient fails trial of generic balsalazide.Refer back to GI?

What a shame!: You may have success getting Asacol (mesalamine) HD or a suitable similar 5-ASA approved on appeal for health plan coverage as a policy exception since the patient has done so well with it for so long. Or, prescribe the balsalazide (Colazal) alternatively. As an aside, is the patient with ulcerative colitis in question due for dysplasia surveillance now, in which case he/she deserves a GI referral anyway? ...Read more

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Is it ethical/legal for blood banks to cite fictional patient cases in an attempt to get donations? ie, "A dialysis patient needs your blood type..."

Is it ethical/legal for blood banks to cite fictional patient cases in an attempt to get donations? ie, "A dialysis patient needs your blood type..."

Probably not, but...: How do you know they are fictional? I don't think any false advertisement is ethical, but there is definitely a need for blood donors for everyone from cancer patients to dialysis patients to trauma patients. So thanks for donating! ...Read more

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What combination antihypertensive drugs to use to achieve target Bp in patient with ckd(no ptn Uria )and paroxysmal a fib ?

What combination antihypertensive drugs to use to achieve target Bp in patient with ckd(no ptn Uria )and paroxysmal a fib ?

Multi drug regime: Calcium channel blockers Beta blockers aprosoline with nitrates ACE/ARB combinations are good combinations meds ...Read more

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What would be the average years for hemodialysis patient to receive dialysis?

What would be the average years for hemodialysis patient to receive dialysis?

Depends: If your not a transplant candidate and depending on what other ailments they have the person may be on dialysis for the rest of their lives. ...Read more